DR. SHANNON B RIDER (MD) – Internal Medicine Physician, NPI 1508846429
Internal Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. SHANNON B RIDER (MD)
Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
405 RUSHING DR
HERRIN, IL 629483730
Phone: (618) 993-3300
Fax: (618) 998-1802
Type: Location
Primary Care Group, 117, East Clark Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States
HARRISBURG, IL 629462702
Phone: (618) 252-8625
Fax: (618) 351-4859
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $311.
Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($87).
Total Amount
$311
General + Research + Ownership
Payments
18
Total payment records
General Amount
$311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $87 |
| PFIZER INC. | $77 |
| ABBVIE INC. | $58 |
| Astellas Pharma US Inc | $24 |
| Lundbeck LLC | $23 |
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: 2011-01-27
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 |
|---|---|---|---|---|
| I20110127001131 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 33 | 33 | $0 |
| 93227 | Electrocardiogram (ecg) 2-day continuous with review by health care professional | 32 | 31 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 25 | 25 | $0 |
| 93272 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional | 14 | 14 | $0 |
Insurance plans in this area (ZIP 62902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 2259 | 1134 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
Reviews
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