KERRY KATHLEEN SHAUGHNESSY (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1336438753

KERRY KATHLEEN SHAUGHNESSY (M.D.) is a healthcare provider. based in Palm beach gardens, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. ME126538 (FL). The NPI Number for KERRY KATHLEEN SHAUGHNESSY (M.D.) is 1336438753

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KERRY KATHLEEN SHAUGHNESSY (M.D.)
NPI
1336438753
Phone
(561) 693-0540
Address
600 VILLAGE SQUARE XING
Enumeration Date
6 April 2011
Last Update Date
7 February 2023

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
2392164337
Graduation Year
2011 (15 years ago)
PAC ID
8921247719
Group Practice PAC ID
1153390414
Professional Enrollment ID
I20160128001221
Address ID
FL341026258NA261XXSXXX400

Contacts

Secure Messaging
kshaughnessy@directaddress.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,366 DERMATOLOGY in FL

Provider Addresses for KERRY KATHLEEN SHAUGHNESSY (M.D.)

  • 600 VILLAGE SQUARE XING

    PALM BEACH GARDENS, FL 334104543

    Phone: (561) 693-0540

    Fax: (561) 296-6174

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $3,152.

Total Amount is formed as General ($3,152) + Research ($0) + Ownership ($0) = $3,152.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($519).

Total Amount

$3,152

General + Research + Ownership

Payments

157

Total payment records

General Amount

$3,152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-28

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
I20160128001221IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,211445$0
99213Established patient office or other outpatient visit, 20-29 minutes936744$0
17000Destruction of precancer skin growth, 1 growth762594$0
17110Destruction of skin growth, 1-14 growths441385$0
11102Biopsy of related skin growth, first growth431381$0
View full utilization report →

Insurance plans in this area (ZIP 33410)

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Provider's Procedures

KERRY KATHLEEN SHAUGHNESSY (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL17003Destruction of 2-14 skin growths631162

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: 1153390414View full group profile
NameSpecialtyState
General SurgeryFL
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
-FL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Nurse PractitionerFL
D E R M A T O L O G YFL
Physician AssistantFL

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Frequently asked questions

What is the standard ID for KERRY KATHLEEN SHAUGHNESSY (M.D.) in the U.S.?
In the U.S., KERRY KATHLEEN SHAUGHNESSY (M.D.) is identified by NPI 1336438753.
Does the public listing show KERRY KATHLEEN SHAUGHNESSY (M.D.) as active?
KERRY KATHLEEN SHAUGHNESSY (M.D.)'s NPI record reflects an active status in NPPES.
What services align with KERRY KATHLEEN SHAUGHNESSY (M.D.)'s listing?
KERRY KATHLEEN SHAUGHNESSY (M.D.)'s public classification highlights MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is KERRY KATHLEEN SHAUGHNESSY (M.D.) tied to Palm Beach Gardens, Florida?
If you are local to Palm Beach Gardens, Florida, KERRY KATHLEEN SHAUGHNESSY (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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