SHARI VANDYKE MONTANDON (D.O.) – Student in an Organized Health Care Education/Training Program, NPI 1326280769
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
560 INTERNAL MEDICINE in ID
Provider Addresses for SHARI VANDYKE MONTANDON (D.O.)
714 W APPLEWAY AVE STE 200
COEUR D ALENE, ID 838149330
Phone: (208) 665-1552
Type: Location
550, South Jackson Street, Louisville, Jefferson County, Kentucky, 40202, United States
ACB 3RD FLOOR
LOUISVILLE, KY 402021622
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $2,046.
Total Amount is formed as General ($2,046) + Research ($0) + Ownership ($0) = $2,046.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($679).
Total Amount
$2,046
General + Research + Ownership
Payments
102
Total payment records
General Amount
$2,046
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
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: 2016-09-22
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 |
|---|---|---|---|---|
| I20160922001017 | I | Allergy/Immunology | ID | 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 |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 1,771 | 11 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,452 | 82 | $0 |
| 95117 | Professional service for multiple injections of allergen | 1,058 | 85 | $0 |
| 95115 | Professional service for single injection of allergen | 577 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 81 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| A L L E R G Y/ I M M U N O L O G Y | MD | |
| Nurse Practitioner | ID | |
| Allergy/Immunology, Pediatric Medicine | ID |
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