Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shane B Clark, DO

Individual provider Hematology (Internal Medicine) Physician · NPI 1902391477

Shane B Clark, DO practises Hematology/Oncology in Fleming Island, Florida. Qualified in 2018, 8 years ago. Practices with Baptist MD Anderson Cancer Physicians Inc, a 122-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409
Phone: (904) 202-7300
Fax: (904) 202-2754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Palm Ave Ste 700, Jacksonville, FL 32207-8457 — (904) 202-7300

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence OS21375 (FL)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence OS21375 (FL)
Medical Oncology Physician Taxonomy 207RX0202X · Licence OS21375 (FL)

Record details

NPI number1902391477
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baptist Md Anderson Cancer Physicians Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients159
Services billed 207 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $45 2 payments · a meal or drink at a meeting or visit, not a fee
Education $15 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Baptist MD Anderson Cancer Physicians Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 122 clinicians in the practice; 12 are shown here.

Other providers in Fleming Island