SHANNON MIXON COVITZ (D.O.) – Emergency Medicine Physician, NPI 1326200395

SHANNON MIXON COVITZ (D.O.) is a healthcare provider. based in Clearwater, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS 11652 (FL). The NPI Number for SHANNON MIXON COVITZ (D.O.) is 1326200395

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON MIXON COVITZ (D.O.)
NPI
1326200395
Phone
(800) 507-8874
Address
18167 US HIGHWAY 19 N
Enumeration Date
30 June 2008
Last Update Date
28 March 2013

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8137571200
Graduation Year
2007 (19 years ago)
PAC ID
2365622172
Group Practice PAC ID
3971417825
Professional Enrollment ID
I20120625000647
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON MIXON COVITZ (D.O.)

  • 18167 US HIGHWAY 19 N

    SUITE 650

    CLEARWATER, FL 337643528

    Phone: (800) 507-8874

    Type: Location

  • Bellevue Drive, Paradise Island, Boca Ciega, Treasure Island, Pinellas County, Florida, 33706, United States

    TREASURE ISLAND, FL 337061201

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120625000647IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making200197$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only182175$0
99291Critical care, first 30-74 minutes6666$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only5555$0
99284Emergency department visit with moderate level of medical decision making2625$0
View full utilization report →

Insurance plans in this area (ZIP 33764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971417825View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SHANNON MIXON COVITZ (D.O.) in U.S. healthcare records?
The official identifier for SHANNON MIXON COVITZ (D.O.) is NPI 1326200395.
Active or inactive — what applies to SHANNON MIXON COVITZ (D.O.)?
You should see SHANNON MIXON COVITZ (D.O.) as active in CMS-hosted NPPES data.
How would a patient describe SHANNON MIXON COVITZ (D.O.)'s focus?
For SHANNON MIXON COVITZ (D.O.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHANNON MIXON COVITZ (D.O.)?
Directory geography for SHANNON MIXON COVITZ (D.O.) centers on Clearwater, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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