Kelvin L. Shane, D.D.S.
NPI 1154733095ActiveIndividual· Dentist· Hudson, WI
Dentist (D.D.S.) in Hudson, Wisconsin, licensed in WI and MN, with an NPI issued in May 2014. Part D covered 28 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1154733095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | May 27, 2014 |
| Last updated in NPPES | Apr 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 1001487-15 | WI |
| Dentist | 122300000X | D13373 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 28 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $131.43 |
| Generic share | 89% of claims |
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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