Active NPI 1104039288 Individual Practitioner Male Practitioner

Dr. Shane Michael Ditty , MD

Anesthesiology • South Bend, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Ditty, MD is a certified Anesthesiology practicing in South Bend, IN. With approximately 23 years of clinical experience since graduating from Indiana University School Of Medicine in 2003, Dr. Ditty delivers high-quality medical care to the local community at 416 E MONROE ST.

Dr. Ditty is affiliated with Southeast Anesthesiologists, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of artery tube for blood sampling or infusion through skin, ultrasonic guidance for blood vessel access, insertion of non-tunneled central venous tube for infusion (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

416 E Monroe St
Ste. 200

South Bend, IN 466012371

Telephone 5742328119

Fax 5742880235

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in South Bend, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -4.1 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

38 Specialists

Practicing in South Bend, IN (1501 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ditty (23 Years) 23 Yrs

South Bend Specialty Average (27.1 Years) 27.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin	30	30	$720.00	$40.20
76937 Ultrasonic guidance for blood vessel access	30	30	$144.00	$12.61
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	20	$864.00	$75.66
00142 Anesthesia for lens surgery	20	20	$727.92	$98.14
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	17	17	$1008.00	$52.74
93313 Insertion of probe in esophagus for heart ultrasound	16	16	$288.00	$10.25
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	14	14	$928.80	$124.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	43	43	$138.00	$12.93
36620 Insertion of artery tube for blood sampling or infusion through skin	40	40	$690.00	$41.02
93313 Insertion of probe in esophagus for heart ultrasound	29	29	$276.00	$10.57
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	24	21	$828.00	$75.41
00142 Anesthesia for lens surgery	23	23	$683.40	$98.68
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	15	15	$912.64	$131.79
01926 Anesthesia for x-ray on artery of brain, heart, or chest	14	14	$2208.99	$279.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	52	50	$132.00	$12.95
36620 Insertion of artery tube for blood sampling or infusion through skin	50	48	$660.00	$41.54
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	42	36	$792.00	$78.07
00142 Anesthesia for lens surgery	36	36	$651.93	$100.57
93313 Insertion of probe in esophagus for heart ultrasound	27	26	$264.00	$10.48
01926 Anesthesia for x-ray on artery of brain, heart, or chest	15	15	$2376.00	$326.39
00811 Anesthesia for procedure on large bowel using an endoscope	15	15	$808.72	$123.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$132.00	$29.63
00567 Anesthesia for heart artery bypass grafting on heart-lung machine	12	12	$5728.80	$867.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin	48	46	$650.00	$41.57
76937 Ultrasonic guidance for blood vessel access	46	45	$130.00	$12.91
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	29	23	$780.00	$80.55
93313 Insertion of probe in esophagus for heart ultrasound	22	22	$260.00	$11.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$130.00	$30.13
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$973.82	$154.38
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	11	11	$943.09	$149.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	27	27	$128.00	$14.16
36620 Insertion of artery tube for blood sampling or infusion through skin	25	25	$640.00	$43.94
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	17	$768.00	$83.05
93313 Insertion of probe in esophagus for heart ultrasound	15	15	$256.00	$11.41
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$128.00	$31.38
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$968.15	$159.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin	27	27	$615.00	$43.06
76937 Ultrasonic guidance for blood vessel access	23	23	$123.00	$13.84
00104 Anesthesia for electroshock therapy	19	12	$640.25	$105.51
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	16	16	$1053.96	$175.65
00670 Anesthesia for procedure on spine and spinal cord	14	14	$4104.69	$694.18
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$123.00	$31.01
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	12	12	$923.52	$147.75
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$1791.33	$303.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	36	$119.00	$30.63
00142 Anesthesia for lens surgery	24	24	$784.90	$135.89
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	22	22	$952.00	$60.69
36620 Insertion of artery tube for blood sampling or infusion through skin	18	18	$595.00	$42.69
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	13	13	$833.00	$61.72
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	11	11	$1290.61	$224.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	45	45	$656.97	$122.64
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$273.90	$29.65
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	17	17	$876.40	$166.68
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	14	14	$812.14	$60.52
36620 Insertion of artery tube for blood sampling or infusion through skin	14	14	$428.57	$48.24
00103 Anesthesia for procedure on eyelid	13	13	$738.15	$141.54
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	13	13	$1566.28	$304.03
00104 Anesthesia for electroshock therapy	11	11	$513.15	$102.58
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	11	11	$635.09	$58.65
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	11	11	$787.33	$150.62

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License IN 01060795

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200859480 (IN)

Commercial Insurance / Payer ID Medicare

236080EE (IN)

Hospital & Practice Group Affiliations

Southeast Anesthesiologists, Inc.

8111 S Emerson Ave, Indianapolis, IN 462378601

Phone: 3175285000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2008

Registered at 416 E MONROE ST, STE. 200, SOUTH BEND, IN 466012371 (Tel: 5742328119)

📍

Updated Business Mailing Address October 06, 2008

Registered at 416 E MONROE ST, STE. 200, SOUTH BEND, IN 466012371 (Tel: 5742328119)

👤

Provider Name / Credentials Updated October 06, 2008

Recorded as SHANE DITTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2008

Anesthesiology (License #01060795 in IN)

🟢

Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104039288

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 07, 2007

Last Update: October 06, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

416 E Monroe St, Ste. 200

South Bend, IN 466012371

Phone: 5742328119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.