Shane Sweeney, MD
NPI 1699161356 · Anatomic Pathology & Clinical Pathology Physician · Mcallen, TX
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Sweeney, MD is a Anatomic Pathology & Clinical Pathology Physician provider in Mcallen, TX (NPI 1699161356).
Provider details
- NPI number
- 1699161356
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101261309 (VA)
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 tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
131 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 93 | $35 |
| Cell Examination of Specimen, Concentration Technique88108 | 14 | $21 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 12 | $25 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 12 | $33 |
Typical Medicare-allowed amounts for these services range $21–$35 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$68,703 across 54 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3551 Roger Brooke DrFort Sam Houston, TX 78234-4504Phone: (210) 539-9582
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Shane Sweeney's NPI number?
- Shane Sweeney's National Provider Identifier (NPI) is 1699161356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Sweeney's specialty?
- Shane Sweeney is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Sweeney located?
- Shane Sweeney's practice location on file with NPPES is 101 E Ridge Rd, Mcallen, TX 78503-1847.
- What is Shane Sweeney's phone number?
- The practice phone number listed in the NPPES registry for Shane Sweeney is (956) 632-6000.
- Does Shane Sweeney accept Medicare?
- Shane Sweeney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Sweeney's NPI active?
- Yes — Shane Sweeney's NPI (1699161356) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.