Shane Keogh, MD
NPI 1114314937ActiveIndividual· Radiology, Diagnostic Radiology· Johnson City, NY
Radiology, Diagnostic Radiology (MD) in Johnson City, New York, trained at State University of Ny Upstate Medical University (class of 2015). Medicare paid $330,841 for services to 2,767 patients in 2024.
Overview
| NPI | 1114314937 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 20, 2015 |
| Last updated in NPPES | Jun 7, 2021 |
| Certified by provider | Jun 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | D0091217 | MD |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (MD); Practitioner - Diagnostic Radiology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,767 |
|---|---|
| Services billed | 62,764 across 132 procedure codes |
| Paid by Medicare | $330,841 |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Diagnostic Imaging Services LLCHagerstown, MD · 16 clinicians
- Fulton Diagnostic Radiology LLCMc Connellsburg, PA · 11 clinicians
Hospital affiliation
- Fulton County Medical CenterMcConnellsburg, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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