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SHANE KOLER DO
NPI 1962073825
Emergency Medicine in Corinth, MS

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
611 ALCORN DR, CORINTH, MS 38834(662) 293-7687(662) 293-4347 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Jul 1, 2021 (2 updates tracked since 2021).

About Shane Koler Do NPPES

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

SHANE KOLER DO (NPI 1962073825) is an individual emergency medicine provider in Corinth, Mississippi, licensed in Tennessee (5829) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962073825
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHANE KOLERCredential: DO
Location Address611 ALCORN DRCorinth, MS 38834-9321
Mailing Address611 Alcorn DrCorinth, MS 38834-9321 · (662) 293-7687 · Fax (662) 293-4347
Phone(662) 293-7687
Fax(662) 293-4347
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2021
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1962073825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 5829
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.
611 ALCORN DR, Corinth, MS 38834
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Koler 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 ID9133654536
PECOS Enrollment IDI20241121004026
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shane Koler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crestwood Hb Medical Services LLC
114 mi
Emergency Medicine
1 HOSPITAL DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 93 clinicians in this Medicare group
NPI 1548940497 (256) 429-4000
Emergency Coverage, LLC
311 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Flowers Hb Medical Services LLC
312 mi
Emergency Medicine
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 252 clinicians in this Medicare group
NPI 1972283828 (334) 793-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440102
Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38834 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

JESSICA SUZANNE JENSEN MD
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
CHRISTOPHER TAYLOR SMITH DO
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-7686
MRS. BROOKE NAPIER HATCHELL DNP, CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
AUSTIN WINEGAR
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (208) 550-2969
MR. CHRISTOPHER HARRISON WRIGHT CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 664-3731
MAGNOLIA REGIONAL BEHAVIORAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
JOHN WAYNE PRATHER M.D.
Internal Medicine (Cardiovascular Disease)
611 ALCORN DR, SUITE 230
CORINTH, MS 38834
Alcorn County (662) 287-5218
AMANDA C JOHNSON CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Koler's NPI number?

The NPI number for Shane Koler is 1962073825. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Shane Koler located?

Shane Koler practices at 611 Alcorn Dr, Corinth, MS 38834. The listed phone number is (662) 293-7687.

What is Shane Koler's specialty?

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

Is Shane Koler enrolled in Medicare?

Yes. Shane Koler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shane Koler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Koler reassigns Medicare benefits to 3 organizations: Crestwood Hb Medical Services LLC (Huntsville, AL), Emergency Coverage, LLC (Newport, TN) and Flowers Hb Medical Services LLC (Dothan, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Koler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shane Koler affiliated with any hospitals?

According to CMS data, Shane Koler is affiliated with Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Koler was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.