Active NPI 1083644736 Individual Practitioner Male Practitioner

Dr. Shane Edward Stidham , MD

Anesthesiology • Norman, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Shane Stidham, MD is a certified Anesthesiology practicing in Norman, OK. With approximately 24 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2002, Dr. Stidham delivers high-quality medical care to the local community at 3650 W ROCK CREEK RD.

Dr. Stidham maintains professional affiliations with Norman Interventional Pain Management Pllc, Norman Anesthesia Providers, P.C. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3650 W Rock Creek Rd
Suite 100

Norman, OK 730722202

Telephone 4057013418

Fax 4057013451

Associated Practice Facility / Clinic

🏢 Norman Anesthesia Providers, P.c. Facility NPI 1881652667

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Norman, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -3.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

14 Specialists

Practicing in Norman, OK (640 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stidham (24 Years) 24 Yrs

Norman Specialty Average (27.0 Years) 27.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	8,480	85	$0.32	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	781	297	$181.11	$83.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	284	103	$46.39	$6.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	270	29	$107.00	$58.10
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	265	142	$30.00	$0.13
62323 Injection of substance into lower spine canal using imaging guidance	157	94	$568.00	$230.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	66	$269.00	$117.89
80305 Testing for presence of drug, read by direct observation	80	67	$50.00	$12.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$413.00	$153.29
J1040 Injection, methylprednisolone acetate, 80 mg	52	43	$40.00	$9.65
62321 Injection of substance into middle or upper spine canal using imaging guidance	47	28	$583.00	$236.55
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	31	20	$539.71	$235.29
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	30	19	$600.60	$235.95
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	30	19	$202.50	$11.31
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	24	19	$1062.50	$577.10
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	23	23	$1610.67	$241.59
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	23	15	$268.89	$122.24
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	23	20	$95.00	$44.40
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	23	23	$680.00	$64.77
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	19	15	$649.74	$313.15
62323 Injection of substance into lower spine canal using imaging guidance	17	12	$568.00	$86.74
20610 Aspiration and/or injection of fluid from large joint	17	15	$206.29	$70.08
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	15	13	$1020.00	$267.92
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	15	13	$606.00	$81.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	493	173	$181.00	$83.04
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	467	127	$53.78	$6.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	335	48	$107.00	$58.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	295	148	$29.84	$0.15
80305 Testing for presence of drug, read by direct observation	174	77	$50.00	$12.18
62323 Injection of substance into lower spine canal using imaging guidance	173	94	$568.10	$233.15
J1040 Injection, methylprednisolone acetate, 80 mg	101	64	$39.60	$11.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	54	$269.00	$117.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$413.00	$151.48
62321 Injection of substance into middle or upper spine canal using imaging guidance	45	25	$583.00	$230.90
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	33	24	$241.36	$11.77
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	33	14	$513.05	$187.56
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	29	29	$684.14	$64.21
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	28	17	$589.88	$227.22
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	27	17	$593.19	$232.44
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	27	27	$1456.00	$239.24
62323 Injection of substance into lower spine canal using imaging guidance	24	18	$568.00	$92.77
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	24	14	$280.29	$116.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$269.00	$95.12
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	17	15	$1020.00	$268.58
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	16	15	$1020.00	$565.75
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	15	13	$702.00	$81.40
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	15	14	$702.00	$305.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	565	66	$107.00	$60.42
99213 Established patient office or other outpatient visit, typically 15 minutes	446	152	$181.20	$85.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	302	75	$50.16	$6.69
J1040 Injection, methylprednisolone acetate, 80 mg	213	116	$40.00	$11.01
62323 Injection of substance into lower spine canal using imaging guidance	168	89	$568.00	$245.52
80305 Testing for presence of drug, read by direct observation	167	81	$50.00	$12.41
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	146	74	$24.58	$0.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$269.00	$106.54
62321 Injection of substance into middle or upper spine canal using imaging guidance	41	27	$583.00	$249.38
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	35	21	$670.06	$278.13
62323 Injection of substance into lower spine canal using imaging guidance	34	23	$568.00	$95.55
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	33	19	$624.00	$248.50
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	32	28	$95.00	$45.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$237.81	$29.75
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	27	15	$535.13	$202.05
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	26	13	$321.33	$129.76
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	14	$255.00	$12.22
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	24	19	$1020.00	$276.57
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	23	17	$705.22	$85.95
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	19	19	$680.00	$60.61
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	18	18	$1323.44	$244.85
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	17	16	$1020.00	$633.25
20610 Aspiration and/or injection of fluid from large joint	17	13	$186.65	$68.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$269.00	$122.43
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	14	13	$732.86	$346.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	635	87	$107.00	$39.04
99213 Established patient office or other outpatient visit, typically 15 minutes	310	146	$180.97	$86.89
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	280	40	$52.46	$6.73
J1040 Injection, methylprednisolone acetate, 80 mg	262	99	$40.00	$10.55
62323 Injection of substance into lower spine canal using imaging guidance	188	76	$568.00	$248.83
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	137	63	$255.00	$12.17
80305 Testing for presence of drug, read by direct observation	137	86	$49.89	$12.53
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	120	67	$95.00	$35.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$269.00	$104.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	75	40	$27.79	$0.11
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	62	27	$636.58	$257.07
Q4162 Woundex flow, bioskin flow, 0.5 cc	48	11	$2646.25	$2117.03
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	46	25	$608.58	$234.64
62321 Injection of substance into middle or upper spine canal using imaging guidance	44	22	$583.00	$254.69
62323 Injection of substance into lower spine canal using imaging guidance	41	21	$568.00	$96.69
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	35	19	$319.26	$124.86
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	28	11	$239.00	$106.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$197.09	$30.31
62321 Injection of substance into middle or upper spine canal using imaging guidance	24	12	$583.00	$102.40
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	24	17	$525.00	$247.13
20551 Injection into tendon at attachment to bone or muscle	24	19	$163.83	$55.02
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	24	12	$522.23	$199.78
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	21	18	$1020.00	$600.52
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	16	16	$680.00	$61.79
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	16	11	$474.38	$84.14
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	16	16	$1300.63	$271.44
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	14	13	$1000.71	$292.56
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	11	11	$814.55	$170.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	723	108	$107.00	$40.12
99213 Established patient office or other outpatient visit, typically 15 minutes	367	144	$181.00	$70.51
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	336	43	$47.55	$7.06
J1040 Injection, methylprednisolone acetate, 80 mg	281	107	$40.00	$11.53
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	186	94	$95.00	$36.08
62323 Injection of substance into lower spine canal using imaging guidance	184	75	$568.00	$240.60
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	145	61	$253.56	$12.27
80305 Testing for presence of drug, read by direct observation	115	83	$50.00	$12.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$268.86	$103.18
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	77	35	$620.29	$243.58
62321 Injection of substance into middle or upper spine canal using imaging guidance	65	23	$583.00	$245.02
62323 Injection of substance into lower spine canal using imaging guidance	52	22	$568.00	$99.31
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	46	19	$241.60	$100.50
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	45	23	$28.58	$0.11
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	41	17	$725.46	$140.68
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	30	12	$420.57	$159.19
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	26	17	$455.77	$241.84
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	25	$169.45	$30.51
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	24	14	$643.50	$246.85
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	20	11	$325.50	$128.08
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	20	12	$427.50	$90.16
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	20	18	$1020.00	$592.99
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	18	17	$686.67	$61.27
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	17	16	$1187.65	$251.77
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	14	13	$1020.00	$330.68
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	13	12	$594.62	$128.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,726	149	$5.97	$0.11
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	721	91	$21.00	$6.66
80305 Testing for presence of drug, read by direct observation	294	153	$50.00	$12.32
J1040 Injection, methylprednisolone acetate, 80 mg	280	109	$40.00	$11.84
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	279	105	$255.00	$12.18
99213 Established patient office or other outpatient visit, typically 15 minutes	244	122	$181.72	$70.26
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	168	75	$634.57	$238.01
62323 Injection of substance into lower spine canal using imaging guidance	154	67	$568.00	$232.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$269.00	$103.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	78	$102.00	$42.47
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	115	49	$701.32	$133.13
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	74	32	$245.46	$96.06
62321 Injection of substance into middle or upper spine canal using imaging guidance	71	29	$583.00	$238.47
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	53	23	$396.79	$73.16
62323 Injection of substance into lower spine canal using imaging guidance	51	22	$568.00	$98.46
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	49	25	$246.32	$53.45
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	39	17	$485.27	$172.80
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	34	14	$382.94	$181.41
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	33	23	$864.55	$263.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	31	$159.53	$31.41
62321 Injection of substance into middle or upper spine canal using imaging guidance	30	12	$583.00	$106.41
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	25	15	$840.90	$232.39
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	24	11	$501.94	$97.43
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	23	23	$680.00	$65.07
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	22	22	$1290.45	$277.20
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	21	14	$623.07	$129.19
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	21	13	$310.00	$119.92
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	21	14	$852.86	$457.87
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	18	11	$313.44	$74.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,774	180	$5.02	$0.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,096	97	$14.73	$7.15
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	324	125	$254.98	$12.20
J1040 Injection, methylprednisolone acetate, 80 mg	252	94	$40.00	$12.76
80305 Testing for presence of drug, read by direct observation	230	176	$50.00	$13.04
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	183	78	$657.96	$233.58
99213 Established patient office or other outpatient visit, typically 15 minutes	175	95	$181.00	$67.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$269.00	$100.91
62323 Injection of substance into lower spine canal using imaging guidance	132	56	$568.00	$227.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	79	$102.00	$40.70
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	124	55	$740.37	$140.80
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	103	43	$255.24	$92.36
62321 Injection of substance into middle or upper spine canal using imaging guidance	86	34	$583.00	$222.70
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	84	39	$295.44	$62.74
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	65	34	$390.62	$71.74
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	50	36	$867.90	$269.68
62323 Injection of substance into lower spine canal using imaging guidance	46	18	$568.00	$97.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	43	43	$162.64	$31.69
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	33	12	$488.38	$178.39
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	31	12	$567.13	$113.41
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	28	21	$612.85	$126.08
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	23	19	$312.78	$73.30
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	22	22	$680.00	$65.00
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	22	17	$627.48	$233.42
62321 Injection of substance into middle or upper spine canal using imaging guidance	22	11	$583.00	$105.10
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	20	20	$1296.50	$277.48
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	18	18	$595.00	$66.34
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	14	14	$870.71	$186.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$413.00	$157.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,877	176	$5.18	$0.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	2,704	123	$18.02	$6.65
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	292	112	$255.00	$11.96
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	282	108	$699.49	$240.82
80305 Testing for presence of drug, read by direct observation	197	163	$50.00	$14.66
J1040 Injection, methylprednisolone acetate, 80 mg	189	69	$40.00	$10.56
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	171	64	$272.32	$93.61
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	163	63	$763.25	$145.14
99213 Established patient office or other outpatient visit, typically 15 minutes	129	87	$180.12	$67.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$267.69	$100.65
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	109	38	$301.49	$64.80
62321 Injection of substance into middle or upper spine canal using imaging guidance	91	38	$583.00	$225.02
62323 Injection of substance into lower spine canal using imaging guidance	80	31	$568.00	$209.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	46	$102.00	$39.92
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	50	31	$426.10	$82.83
62321 Injection of substance into middle or upper spine canal using imaging guidance	40	18	$583.00	$107.03
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	37	31	$1012.70	$311.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	26	$140.35	$32.42
62323 Injection of substance into lower spine canal using imaging guidance	24	11	$568.00	$97.67
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	17	13	$630.88	$231.88
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	15	15	$680.00	$64.18
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	14	14	$845.00	$177.49
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	14	14	$1380.71	$292.47
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	13	11	$317.04	$117.25

Medical Specialties & State Licenses

CMS Verified: 2026-05-07

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License OK 22913

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

200088400A (OK)

Hospital & Practice Group Affiliations

Norman Interventional Pain Management Pllc

901 N Porter, Norman, OK 730716404

Phone: 4053071000

Norman Anesthesia Providers, P.c.

901 N Porter Ave, Norman, OK 730716404

Phone: 4053071000

Practice Associates & Co-Workers

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

22 Associated Practitioners

Jennifer Fleck , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013247378

Certified Registered Nurse Anesthetist

Dr. Quentin Lobb , MD

Anesthesiology

NPI 1043359524

Doctor of Medicine (M.D.)

Darren Gose , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063471613

Certified Registered Nurse Anesthetist

Kendall Hurley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083152771

Certified Registered Nurse Anesthetist

Deanne Givens , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083674162

Certified Registered Nurse Anesthetist

Jason Falconer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083916803

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 07, 2026

Registered at 3650 W ROCK CREEK RD STE 100, NORMAN, OK 730722202 (Tel: 4057013418)

✅

NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2011

Registered at 3650 W ROCK CREEK RD, SUITE 100, NORMAN, OK 730722202 (Tel: 4057013418)

📍

Updated Business Mailing Address May 10, 2011

Registered at 3650 W ROCK CREEK RD, SUITE 100, NORMAN, OK 730722202 (Tel: 4057013418)

👤

Provider Name / Credentials Updated May 10, 2011

Recorded as SHANE STIDHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Anesthesiology (License #22913 in OK)

🟢

Initial NPI Registration & Enumeration July 04, 2006

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: 1083644736

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: May 07, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3650 W Rock Creek Rd Ste 100

Norman, OK 730722202

Phone: 4057013418

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.