Shane M. Durkes, MD
Family Medicine Physician · Janesville, WI
Shane M. Durkes, MD is a family medicine physician with a practice address in Janesville, Wisconsin, and NPI 1043396609, issued on Oct 27, 2006. Check the license (Wisconsin 49764, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Shane M. Durkes
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 49764 WI
MD.204989 LA
Self-reported in NPPES; status is on the state search - Practice location
- 849 Kellogg Ave, Janesville, WI 53546
- Phone
- (608) 755-7960
- Enumerated
- Oct 27, 2006
- Record last updated
- Apr 14, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20111021000499); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,765 in Wisconsin → Look up another NPI →
Also registered at 849 Kellogg Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Raphael Agbavitor, MDStudent in an Organized Health Care Education/Training Program1538009212
- Fayyaz Ahmed, MDFamily Medicine Physician1760273049
- Arthur Altbuch, M.D.Geriatric Medicine (Family Medicine) Physician1821021429
- Melissa Amertil, MDStudent in an Organized Health Care Education/Training Program1174814859
- Jane Anderson, MDFamily Medicine Physician1942220140
- Sama AzeezStudent in an Organized Health Care Education/Training Program1679400915
Verify Shane M. Durkes in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 49764Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average family medicine physician in 2024
451 Medicare Part D claims for 284 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Most prescribed
- Diclofenac Sodium75 claims
- Azithromycin54 claims
- Cyclobenzaprine Hcl45 claims
- Prednisone33 claims
- Diclofenac Potassium20 claims
- Nitrofurantoin Mono-Macro18 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 30.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- St Martin Emergency Group LLCBreaux Bridge, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane M. Durkes among 3,765 family medicine physician records in Wisconsin
Shane M. Durkes, MD is one of 3,765 family medicine physician records with a practice address in Wisconsin. 75% 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 10% of them.
- NPI issued2006 · 10% of these records are older, 46% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2005 · median 2007 among the 2,347 with a school on file
- Record last updated2015 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
73 family medicine physician records list a practice address in Janesville
They are 73 of the 1,538 NPPES records with a practice address in Janesville, and 3,765 family medicine physician records in Wisconsin.
All 3,765 in Wisconsin → Every provider in Janesville → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jane Anderson, MDJanesville, WI 535461942220140
- Leslie Bernstein, MDJanesville, WI 535461447296876
- Ronald Bowers, MDJanesville, WI 535461265446355
- Janet Dabson, MDJanesville, WI 535461083797716
- Debra Ewing, DOJanesville, WI 535461619984127
- Brett Goettsch, MDJanesville, WI 535461396787594
- Perka Guenev, M.D.Janesville, WI 535461205934254
- John Keener, MDJanesville, WI 535461578539086
Common questions
What is Shane M. Durkes, MD's NPI number?
Shane M. Durkes, MD's National Provider Identifier (NPI) is 1043396609, issued on Oct 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shane M. Durkes, MD located?
The NPPES record lists a practice address at 849 Kellogg Ave, Janesville, WI, 53546. Phone: (608) 755-7960. Providers update this record themselves, so call before visiting.
How can I verify Shane M. Durkes, MD's license?
NPPES lists Wisconsin license number 49764, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shane M. Durkes, MD prescribe under Medicare Part D?
In 2024, Shane M. Durkes, MD had 451 Medicare Part D claims for 284 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Shane M. Durkes, MD's MIPS final score?
The 2023 MIPS final score is 30.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.