DR. SHAWN PATRICK MOUNTAIN (D.O) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1235458183
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
161 SPORTS MEDICINE in TN
Provider Addresses for DR. SHAWN PATRICK MOUNTAIN (D.O)
PO BOX 370
FORTSON, GA 318080370
Phone:
Fax: (706) 494-3008
Type: Mailing
100 PHYSICIANS WAY
SUITE 110
LEBANON, TN 370908102
Phone: (615) 547-6700
Fax: (615) 547-6707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: SI-BONE, INC. ($97).
Total Amount
$200
General + Research + Ownership
Payments
6
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $97 |
| Smith+Nephew, Inc. | $42 |
| Anika Therapeutics, Inc. | $23 |
| Avanos Medical | $22 |
| Orthofix Medical, Inc. | $16 |
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: 2015-10-15
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 |
|---|---|---|---|---|
| I20151015001669 | I | Sports Medicine | TN | 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 | 154 | 105 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 118 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 69 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 89 | 47 | $0 |
| 73564 | X-ray of knee, 4 or more views | 74 | 62 | $0 |
Insurance plans in this area (ZIP 31808)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | TN | 20610 | Aspiration and/or injection of large joint or joint capsule | 65 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IL | |
| - | TN | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hand Surgery, Orthopedic Surgery | LA | |
| Physical Therapist In Private Practice | GA | |
| Hand Surgery, Orthopedic Surgery | GA | |
| Sports Medicine, Orthopedic Surgery | TN | |
| Orthopedic Surgery | GA | |
| - | GA |
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