Shane Byrn Richardson, M.D.
NPI 1659710374ActiveIndividual· Family Medicine· Cloquet, MN
Family Medicine (M.D.) with Fond Du Lac Reservation Business Committee, practicing in Cloquet, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $159,624 for 2,753 claims, against $20,639 paid for services in 2024. Lists St Lukes Hospital as a hospital affiliation.
Overview
| NPI | 1659710374 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 15, 2013 |
| Last updated in NPPES | Jan 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 64730 | MN |
| Family Medicine | 207Q00000X | R73957 | AZ |
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 - Family Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 473 across 44 procedure codes |
| Paid by Medicare | $20,639 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,753 · 2,812 30-day fills |
|---|---|
| Patients | 83 |
| Total drug cost | $159,624 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Fond Du Lac Reservation Business CommitteeDuluth, MN · 40 clinicians
Hospital affiliation
- St Lukes HospitalDuluth, MN
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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All 33 family medicine physicians in Cloquet · All family medicine physicians in Minnesota