Shane Durkes, MD
NPI 1043396609 · Family Medicine Physician · Janesville, WI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Durkes, MD is a Family Medicine Physician provider in Janesville, WI (NPI 1043396609).
Provider details
- NPI number
- 1043396609
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 49764 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
215 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 108 | $167 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 107 | $115 |
Typical Medicare-allowed amounts for these services range $115–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Diclofenac Sodium | 75 | 74 |
| Azithromycin | 54 | 53 |
| Cyclobenzaprine Hcl | 45 | 44 |
| Prednisone | 33 | 31 |
| Diclofenac Potassium | 20 | 20 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 18 | 18 |
| Ciprofloxacin Hcl | 17 | 17 |
| Clonidine Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2015-04-14
Frequently asked questions
- What is Shane Durkes's NPI number?
- Shane Durkes's National Provider Identifier (NPI) is 1043396609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Durkes's specialty?
- Shane Durkes is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Durkes located?
- Shane Durkes's practice location on file with NPPES is 849 Kellogg Ave, Janesville, WI 53546-2808.
- What is Shane Durkes's phone number?
- The practice phone number listed in the NPPES registry for Shane Durkes is (608) 755-7960.
- Does Shane Durkes accept Medicare?
- Shane Durkes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Durkes's NPI active?
- Yes — Shane Durkes's NPI (1043396609) is active in the NPPES registry as of the last update on 2015-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.