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Active NPI 1588035976 Individual Practitioner Male Practitioner

Dr. Shane M Tackitt , DO

Internal Medicine • Mansfield, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Tackitt, DO is a certified Internal Medicine practicing in Mansfield, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Tackitt delivers high-quality medical care to the local community at 2700 E BROAD ST.

Dr. Tackitt is affiliated with Lonestar Hospital Medicine Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2700 E Broad St

Mansfield, TX 760635899

Telephone 6822426470
Fax 6826222092
Associated Practice Facility / Clinic
🏢 Methodist Hospitals Of Dallas Facility NPI 1689629941

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mansfield, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -10.6 yrs vs City Avg
City Avg: 19.6 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Mansfield, TX (9538 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tackitt (9 Years) 9 Yrs
Mansfield Specialty Average (19.6 Years) 19.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
344 133 $278.00 $76.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
157 82 $398.00 $115.24
99239 Hospital discharge day management, more than 30 minutes
141 136 $411.00 $111.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $773.00 $167.95

Medical Specialties & State Licenses

CMS Verified: 2020-07-01
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX S5274

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX BP10058725

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX S5274

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX S5274

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Lonestar Hospital Medicine Associates Pa

2700 E Broad St, Mansfield, TX 760635899

Phone: 6826222000

Practice Associates & Co-Workers

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

1 Associated Practitioners
Ashlee Braziel , PA-C

Physician Assistant - Medical

NPI 1144366139

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 01, 2020

Registered at 2700 E BROAD ST, MANSFIELD, TX 760635899 (Tel: 6822426470)

📍
Updated Business Mailing Address July 01, 2020

Registered at 2700 E BROAD ST, DEPARTMENT INTERNAL MEDICINE, MANSFIELD, TX 760635899 (Tel: 6822426470)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2020

Hospitalist (License #S5274 in TX)

NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2017

Registered at 713 E ANDERSON ST, WEATHERFORD, TX 760865705 (Tel: (682) 582-2921)

📍
Updated Business Mailing Address May 22, 2017

Registered at 713 E ANDERSON ST, WEATHERFORD, TX 760865705 (Tel: (682) 582-2921)

👤
Provider Name / Credentials Updated May 22, 2017

Recorded as SHANE TACKITT, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Student in an Organized Health Care Education/Training Program (License #BP10058725 in TX)

NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2015

Registered at 111 UNIVERSITY PKWY, YAKIMA, WA 989011471 (Tel: 5094525100)

📍
Updated Business Mailing Address October 12, 2015

Registered at 2743 SW JASMINE PL, BEAVERTON, OR 970034482

👤
Provider Name / Credentials Updated October 12, 2015

Recorded as SHANE TACKITT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 12, 2015

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: 1588035976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2015
Last Update: July 01, 2020
Sole Proprietor: No

Mailing Address

2700 E Broad St, Department Internal Medicine

Mansfield, TX 760635899

Phone: 6822426470

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.