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Active NPI 1265573067 Individual Practitioner Male Practitioner

Dr. Shane Alan Clark , MD

Anesthesiology • Dallas, TX

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Shane Clark, MD is a registered Anesthesiology practitioner in Dallas, TX. With approximately 21 years of clinical practice since graduating from University Of Texas Medical School At San Antonio in 2005, Dr. Clark provides healthcare services at the registered practice location at 6606 LBJ FWY.

Dr. Clark is affiliated with U S Anesthesia Partners Of Texas, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for lens surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6606 Lbj Fwy
Suite 200

Dallas, TX 752406533

Telephone 9727155000
Fax 9727159976
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Dallas, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -1.7 yrs vs City Avg
City Avg: 22.7 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
1427 Specialists

Practicing in Dallas, TX (4818 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
94.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (21 Years) 21 Yrs
Dallas Specialty Average (22.7 Years) 22.7 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
00811 Anesthesia for procedure on large bowel using an endoscope
28 28 $1291.02 $83.99
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
17 17 $1305.00 $81.78
00142 Anesthesia for lens surgery
13 13 $953.65 $61.40
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
12 12 $1067.00 $28.95
01402 Anesthesia for procedure for total knee joint replacement
12 12 $3828.00 $273.79
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
11 11 $1666.00 $49.32

Medical Specialties & State Licenses

CMS Verified: 2022-01-31
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License TX M5105

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
186407609 (TX)
Commercial Insurance / Payer ID Rairlaod
P01445776 (TX)
Commercial Insurance / Payer ID Bcbs
8EH505 (TX)

Hospital & Practice Group Affiliations

U S Anesthesia Partners Of Texas, Pa

10864 Texas Health Trl, Fort Worth, TX 762444897

Phone: 8172502150

Practice Associates & Co-Workers

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

40 Associated Practitioners
Charity Magcalas , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003002205

Certified Registered Nurse Anesthetist

NPI 1003083395

Doctor of Medicine (M.D.)

Jennie Potts , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003110560

Certified Registered Nurse Anesthetist

Dr. Elvis Tsang , MD

Anesthesiology

NPI 1003135914

Doctor of Medicine (M.D.)

NPI 1003144627

Doctor of Medicine (M.D.)

Pedro Napoles , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003212283

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address January 31, 2022

Registered at PO BOX 840853, DALLAS, TX 752840853 (Tel: 9727155000)

📍
Updated Business Mailing Address June 12, 2020

Registered at PO BOX 840853, DALLAS, TX 752840865 (Tel: 9727155000)

NPI Profile Active October 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2015

Registered at 6606 LBJ FWY, SUITE 200, DALLAS, TX 752406533 (Tel: 9727155000)

📍
Updated Business Mailing Address October 10, 2015

Registered at PO BOX 650865, DALLAS, TX 752650865 (Tel: 9727151999)

👤
Provider Name / Credentials Updated October 10, 2015

Recorded as SHANE CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2015

Anesthesiology (License #M5105 in TX)

🟢
Initial NPI Registration & Enumeration February 12, 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: 1265573067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: January 31, 2022
Sole Proprietor: No

Mailing Address

Po Box 840853

Dallas, TX 752840853

Phone: 9727155000

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.