Shane Dennis Dieckman, D.O.
NPI 1487647368ActiveIndividual· Radiology, Diagnostic Radiology· Offutt Afb, NE
Radiology, Diagnostic Radiology (D.O.) with Radiology Consultants PC, practicing in Offutt Afb, Nebraska. Medicare paid $140,737 for services to 4,884 patients in 2024. Lists Cass County Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1487647368 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Aug 26, 2005 |
| Last updated in NPPES | Oct 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 305 | NE |
| Radiology, Diagnostic Radiology | 2085R0202X | DR.0055905 | CO |
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) | Enrolled Practitioner - Diagnostic Radiology (IA); Practitioner - Diagnostic Radiology (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 4,884 |
|---|---|
| Services billed | 6,406 across 153 procedure codes |
| Paid by Medicare | $140,737 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Radiology Consultants PCOmaha, NE · 45 clinicians
Hospital affiliations
- Cass County Memorial HospitalAtlantic, IA
- Chi Health Bergan MercyOmaha, NE
- Chi Health LakesideOmaha, NE
- Chi Health MidlandsPapillion, NE
- Chi Health St. ElizabethLincoln, NE
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Radiology, Diagnostic Radiology providers in Offutt Afb
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- 1558741991
- 1396196903