SHANNON MARIE DRISCOLL (PA-C) – Physician Assistant, NPI 1457863045
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for SHANNON MARIE DRISCOLL (PA-C)
1406 W SUPERIOR ST APT 2F
CHICAGO, IL 606425279
Phone: (561) 436-4728
Type: Mailing
Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007-3545, United States
ELK GROVE VILLAGE, IL 600077300
Phone: (847) 593-6222
Type: Location
1765 N ELSTON AVE STE 110
CHICAGO, IL 606421501
Phone: (773) 276-1100
Fax: (773) 276-1102
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 230 Open Payments records for all available years, with a total value of $5,220.
Total Amount is formed as General ($5,220) + Research ($0) + Ownership ($0) = $5,220.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,199).
Total Amount
$5,220
General + Research + Ownership
Payments
230
Total payment records
General Amount
$5,220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,199 |
| PFIZER INC. | $312 |
| Sun Pharmaceutical Industries Inc. | $277 |
| ABBVIE INC. | $266 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $187 |
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: 2018-04-25
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 |
|---|---|---|---|---|
| I20180425001344 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 164 | 21 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 32 | 25 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 25 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 60642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | KY | |
| Physician Assistant | IN | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | IL |
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