Shane Peterson, DO
NPI 1609439066 · Diagnostic Radiology Physician · Orlando, FL
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Peterson, DO is a Diagnostic Radiology Physician provider in Orlando, FL (NPI 1609439066).
Provider details
- NPI number
- 1609439066
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS22276 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
7 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
68 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) |
|---|---|---|
| X-Ray of Foot, Minimum of 3 Views73630 | 41 | $34 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 27 | $36 |
Typical Medicare-allowed amounts for these services range $34–$36 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-20
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Frequently asked questions
- What is Shane Peterson's NPI number?
- Shane Peterson's National Provider Identifier (NPI) is 1609439066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Peterson's specialty?
- Shane Peterson is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Peterson located?
- Shane Peterson's practice location on file with NPPES is 601 E Rollins St, Orlando, FL 32803-1248.
- What is Shane Peterson's phone number?
- The practice phone number listed in the NPPES registry for Shane Peterson is (407) 200-2355.
- Does Shane Peterson accept Medicare?
- Shane Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Peterson's NPI active?
- Yes — Shane Peterson's NPI (1609439066) is active in the NPPES registry as of the last update on 2025-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.