SHANNON REBECCA PREVETTE (MD) – Family Medicine Physician, NPI 1780681510
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for SHANNON REBECCA PREVETTE (MD)
Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States
MIAMI, FL 331262051
Phone: (305) 500-2027
Fax: (305) 500-2155
Type: Mailing
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 782597611
Phone: (305) 500-2027
Fax: (210) 495-5914
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $705.
Total Amount is formed as General ($705) + Research ($0) + Ownership ($0) = $705.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($153).
Total Amount
$705
General + Research + Ownership
Payments
39
Total payment records
General Amount
$705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061025000180 | I | Family Practice | TX | TBD |
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.
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 | 27 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33126)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 83036 | Hemoglobin A1C level | 108 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice | TX | |
| Internal Medicine, General Practice | FL | |
| Family Practice, Geriatric Medicine | FL | |
| Nurse Practitioner | TX | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX |
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