Doctor profile · Federal record
Dr. Shane Dickerson, M.D.
Anesthesiology Physician (CMS: Anesthesiology) · Student in an Organized Health Care Education/Training Program · Los Angeles, CA
- NPI 1740522341
- Accepts Medicare
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1500 San Pablo St Fl 4
Los Angeles, CA 900335313
(323) 442-7400 - Additional location
-
243 W 107Th St Apt 4W
New York, NY 100253080
(609) 214-1518 - Mailing address
-
Po Box 31309
Los Angeles, CA 900310309
Credentials & registration
- NPI registered
- March 2013 — 13 yrs on file
- Profile last updated
- July 21, 2022
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- California #A147680
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740522341. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
118
Distinct HCPCS
6
Medicare allowed
$17,662
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
64488 |
Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 34 | 34 | $72 | |
64486 |
Injection of local anesthetic for abdominal wall pain control on side using imaging guidance | 22 | 22 | $58 | |
64447 |
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 19 | 19 | $64 | |
36620 |
Insertion of artery tube for blood sampling or infusion through skin | 18 | 18 | $47 | |
00670 |
Anesthesia for extensive surgery on spine | 14 | 14 | $573 | |
00320 |
Anesthesia for other procedure on neck area (1 year or older) | 11 | 11 | $350 |
In context: peer comparison
Among 169 peers in Los Angeles Anesthesiology Physician, average services per provider: 34. This provider delivers 3.5× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Shane Dickerson's medical specialty?
Dr. Shane Dickerson practices Anesthesiology Physician in Los Angeles, CA.
Where does Dr. Shane Dickerson practice?
Dr. Shane Dickerson practices at 1500 San Pablo St Fl 4, Los Angeles, CA 900335313. Office phone: 3234427400.
What is Dr. Shane Dickerson's NPI?
Dr. Shane Dickerson's National Provider Identifier (NPI) is 1740522341, issued by NPPES.
Does Dr. Shane Dickerson accept Medicare assignment?
Yes. Dr. Shane Dickerson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Dickerson commonly perform?
Top Medicare-reported procedures in 2023: Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance (HCPCS 64488); Injection of local anesthetic for abdominal wall pain control on side using imaging guidance (HCPCS 64486); Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) (HCPCS 64447). Source: CMS Medicare Physician & Other Practitioners file.