Doctor profile · Federal record
Dr. Shane Clark, MD
Anesthesiology Physician (CMS: Anesthesiology) · Dallas, TX
- NPI 1265573067
- Accepts Medicare
- MIPS 93.5 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6606 Lbj Fwy, Suite 200
Dallas, TX 752406533
(972) 715-5000
fax (972) 715-9976 - Mailing address
-
Po Box 840853
Dallas, TX 752840853
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- January 31, 2022
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Texas #M5105
- Medicaid
- TX #186407609
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265573067. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
54
Distinct HCPCS
4
Medicare allowed
$4,377
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 14 | 14 | $86 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $85 | |
76942 |
Ultrasonic guidance for needle placement | 14 | 14 | $30 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $130 |
In context: peer comparison
Among 430 peers in Dallas Anesthesiology Physician, average services per provider: 52. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$42
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $27.66 | |
| Merck Sharp & Dohme LLC | 1 | $14.21 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Shane Clark's medical specialty?
Dr. Shane Clark practices Anesthesiology Physician in Dallas, TX.
Where does Dr. Shane Clark practice?
Dr. Shane Clark practices at 6606 Lbj Fwy, Dallas, TX 752406533. Office phone: 9727155000.
What is Dr. Shane Clark's NPI?
Dr. Shane Clark's National Provider Identifier (NPI) is 1265573067, issued by NPPES.
Does Dr. Shane Clark accept Medicare assignment?
Yes. Dr. Shane Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Clark 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); Ultrasonic guidance for needle placement (HCPCS 76942). Source: CMS Medicare Physician & Other Practitioners file.