THOMAS J SHAKNOVSKY (DO) – Surgery Physician, NPI 1568690014
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2025-01-20. Reason: License revocation, suspension, or surrender.
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THOMAS J SHAKNOVSKY (DO)
554 Twin Cities Blvd Ste C
Niceville, FL 325781058
Phone: (850) 660-5204
Type: Location
214 COVELL RD
CRESTVIEW, FL 325396060
Phone: (850) 864-4005
Type: Location
PO BOX 419076
BOSTON, MA 022419076
Phone: (610) 644-8900
Fax: (484) 924-0053
Type: Mailing
6879 US Highway 98 W
Santa Rosa Beach, FL 324593257
Phone: (850) 660-5204
Type: Location
6879, US 98, Santa Rosa Beach, Walton County, Florida, 32459, United States
SANTA ROSA BEACH, FL 324593257
Phone: (850) 660-5204
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $4,636.
Total Amount is formed as General ($4,636) + Research ($0) + Ownership ($0) = $4,636.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: TELA Bio, Inc. ($3,004).
Total Amount
$4,636
General + Research + Ownership
Payments
42
Total payment records
General Amount
$4,636
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $3,004 |
| Medtronic, Inc. | $1,016 |
| Intuitive Surgical, Inc. | $265 |
| BIOTISSUE HOLDINGS INC. | $122 |
| W. L. Gore & Associates, Inc. | $108 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 79 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | 47 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 32578)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AL | |
| Emergency Medicine | MI | |
| - | AL | |
| - | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| U R O L O G Y | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Critical Care (Intensivists) | AL | |
| Critical Care (Intensivists) | NM | |
| Internal Medicine | AL |
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