SHANE GARDNER DO
NPI 1942950191
Emergency Medicine in Oak Lawn, IL

Q: What is Shane Gardner's NPI number?

The NPI number for Shane Gardner is 1942950191. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Shane Gardner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Gardner was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment

4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5375(708) 684-3776 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shane Gardner Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE GARDNER DO (NPI 1942950191) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036-174202) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1942950191

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSHANE GARDNERCredential: DO

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

Mailing Address4440 W 95th StOak Lawn, IL 60453-2600 · (708) 684-5375 · Fax (708) 684-3776

Phone(708) 684-5375

Fax(708) 684-3776

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2022

Enumeration DateMarch 28, 2022

Last NPPES UpdateJune 24, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1942950191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-174202

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4440 W 95TH ST, Oak Lawn, IL 60453

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Gardner Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345753356

PECOS Enrollment IDI20250702001629

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ADRIAN FAASSE MD

Urology