Doctor profile · Federal record
Dr. Shane Faltys, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Poplar Bluff, MO
- NPI 1164640926
- Accepts Medicare
- 24 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2620 N Westwood Blvd
Poplar Bluff, MO 639013396
(573) 718-2710 - Mailing address
-
12747 Foxwood PT
Poplar Bluff, MO 639017746
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Missouri #2004031200 · Iowa #D-102109
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164640926. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
190
Distinct HCPCS
4
Medicare allowed
$21,886
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 129 | 116 | $117 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 22 | 21 | $128 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 21 | 21 | $164 | |
76942 |
Ultrasonic guidance for needle placement | 18 | 16 | $29 |
In context: peer comparison
Among 5 peers in Poplar Bluff Certified Registered Nurse Anesthetist, average services per provider: 60. This provider delivers 3.2× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Shane Faltys's medical specialty?
Dr. Shane Faltys practices Certified Registered Nurse Anesthetist in Poplar Bluff, MO.
Where does Dr. Shane Faltys practice?
Dr. Shane Faltys practices at 2620 N Westwood Blvd, Poplar Bluff, MO 639013396. Office phone: 5737182710.
What is Dr. Shane Faltys's NPI?
Dr. Shane Faltys's National Provider Identifier (NPI) is 1164640926, issued by NPPES.
Does Dr. Shane Faltys accept Medicare assignment?
Yes. Dr. Shane Faltys accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Faltys commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813). Source: CMS Medicare Physician & Other Practitioners file.