Dale Roger Shampo, MD
Diagnostic Radiology Physician · Iron Mountain, MI
Dale Roger Shampo, MD is a diagnostic radiology physician with a practice address in Iron Mountain, Michigan, and NPI 1124107917, issued on Nov 3, 2006. Check the license (Michigan 4301029974, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Dale Roger Shampo
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 4301029974 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1721 S Stephenson Ave, Iron Mountain, MI 49801
- Phone
- (906) 774-1313
- Enumerated
- Nov 3, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicaid IDs
- 30436700 WI
1386409 MI - Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,584 in Michigan → Look up another NPI →
Also registered at 1721 S Stephenson Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Wayne Abel, CRNACertified Registered Nurse Anesthetist1427093459
- Jessica Barber, PA-CPhysician Assistant1548037252
- Amber Barnes, RDNRegistered Dietitian1922751510
- Ashley BernardOccupational Therapist1457806952
- Jeffrey Bird, DNPPrimary Care Nurse Practitioner1982056636
- Claudia Borntrager, CRDRegistered Dietitian1770565061
Verify Dale Roger Shampo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301029974Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
75% fewer Medicare Part D claims than the average diagnostic radiology physician in 2024
13 Medicare Part D claims, against an average of 51 among the 2,711 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Dale Roger Shampo among 1,584 diagnostic radiology physician records in Michigan
Dale Roger Shampo, MD is one of 1,584 diagnostic radiology physician records with a practice address in Michigan. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 50% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileNo · 64% of these records are
- Record last updated2007 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
9 diagnostic radiology physician records list a practice address in Iron Mountain
They are 9 of the 613 NPPES records with a practice address in Iron Mountain, and 1,584 diagnostic radiology physician records in Michigan.
All 1,584 in Michigan → Every provider in Iron Mountain → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Robyne Camana, MDIron Mountain, MI 498011477874238
- Emma Diponio, MDIron Mountain, MI 498011487628863
- Bayani Manzano, MDIron Mountain, MI 498011083688469
- Louis Mautone, DOIron Mountain, MI 498011144294513
- Monica Terrian, DOIron Mountain, MI 498011902870363
- David Timm, M.D.Iron Mountain, MI 498011114121746
- John To, MDIron Mountain, MI 498011346214715
- Danilo Zapanta, MDIron Mountain, MI 498011649359431
Common questions
What is Dale Roger Shampo, MD's NPI number?
Dale Roger Shampo, MD's National Provider Identifier (NPI) is 1124107917, issued on Nov 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Dale Roger Shampo, MD located?
The NPPES record lists a practice address at 1721 S Stephenson Ave, Iron Mountain, MI, 49801. Phone: (906) 774-1313. Providers update this record themselves, so call before visiting.
How can I verify Dale Roger Shampo, MD's license?
NPPES lists Michigan license number 4301029974, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Dale Roger Shampo, MD prescribe under Medicare Part D?
In 2024, Dale Roger Shampo, MD had 13 Medicare Part D claims; the average among diagnostic radiology physician prescribers was 51. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.