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Dr. Shane B Carson , DO

Pediatrics β€’ Spokane, WA

Active NPI 1710917299 Individual Practitioner Male Practitioner
Practice location in NPPES

1919 S Grand Blvd
Spokane, WA 992032347

Call 5097473081 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1919 S Grand Blvd

Spokane, WA 992032347

Telephone 5097473081
Fax 5092277070
Organization at the Same NPPES Address or Phone
Women First, Ps Facility NPI 1346488947

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $31.15 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Spokane and Washington

76 active clinicians are listed under Pediatrics with a practice address in Spokane, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane

0% of these 76 clinicians have the CMS telehealth indicator.

1.3% of these 76 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $31.15.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR - 13 General $31.15

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA OP00002101

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
8454654 (WA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Shira Albert , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063817831

Advanced Registered Nurse Practitioner

Dr. Timothy Ball , MD PHD

Internal Medicine - Interventional Cardiology

NPI 1073622031

MDPHD

NPI 1043292808

Doctor of Medicine (M.D.)

Carolyn Campa , ARNP

Nurse Practitioner - Family

NPI 1114210812

Advanced Registered Nurse Practitioner

Dr. Kristine Coons , DO

Internal Medicine

NPI 1013293422

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Decato , MD

Internal Medicine - Pulmonary Disease

NPI 1043535370

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active May 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 18, 2017

Registered at 1919 S GRAND BLVD, SPOKANE, WA 992032347 (Tel: 5097473081)

πŸ“
Updated Business Mailing Address May 18, 2017

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: (509) 747-3081)

πŸ‘€
Provider Name / Credentials Updated May 18, 2017

Recorded as SHANE CARSON, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2017

Pediatrics (license number reported to NPPES: WA OP00002101)

βœ…
NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 23, 2015

Registered at 235 E ROWAN AVE, STE 117, SPOKANE, WA 992071240 (Tel: 5097473081)

πŸ“
Business Mailing Address (Initial Record) July 23, 2015

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 5097473081)

πŸ‘€
Provider Name / Credentials (Initial Record) July 23, 2015

Recorded as SHANE CARSON, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Pediatrics (license number reported to NPPES: WA OP00002101)

🟒
Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710917299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: May 03, 2021
Sole Proprietor: No

Other Pediatrics Specialists in Spokane

All Pediatrics Specialists in Spokane

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 5097473081

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.