SHANNON M. EWING (M.D.) – Dermatology Physician, NPI 1598845695

SHANNON M. EWING (M.D.) is a healthcare provider. based in Evanston, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D.. The NPI Number for SHANNON M. EWING (M.D.) is 1598845695

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON M. EWING (M.D.)
NPI
1598845695
Phone
(847) 570-1644
Address
2650 RIDGE AVE
Enumeration Date
16 October 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
0547293292
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20050914000408
Address ID
IL600771057SK4901XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for SHANNON M. EWING (M.D.)

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON HOSPITAL

    EVANSTON, IL 602011718

    Phone: (847) 570-1644

    Fax: (847) 733-5315

    Type: Mailing

  • 9977, Woods Drive, Skokie, Niles Township, Cook County, Illinois, 60077, United States

    3RD FLOOR

    SKOKIE, IL 600771057

    Phone: (847) 663-8060

    Fax: (847) 663-1027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,447.

Total Amount is formed as General ($216) + Research ($1,232) + Ownership ($0) = $1,447.

Last reported payment date: 2024-02-17 • Largest payer in this snapshot: ABBVIE INC. ($1,255).

Total Amount

$1,447

General + Research + Ownership

Payments

14

Total payment records

General Amount

$216

General payments

Research Amount

$1,232

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050914000408IDermatologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths895184$0
99213Established patient office or other outpatient visit, 20-29 minutes568480$0
99214Established patient office or other outpatient visit, 30-39 minutes423350$0
17000Destruction of precancer skin growth, 1 growth420295$0
11102Biopsy of related skin growth, first growth194179$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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Provider's Procedures

SHANNON M. EWING (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL17003Destruction of 2-14 skin growths635162

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How is SHANNON M. EWING (M.D.) identified in CMS data?
CMS-hosted NPPES data lists SHANNON M. EWING (M.D.) with NPI 1598845695.
Is SHANNON M. EWING (M.D.) still practicing?
SHANNON M. EWING (M.D.) is currently listed as active in the public NPI registry.
What is SHANNON M. EWING (M.D.)'s primary classification?
Dermatology Physician is the headline specialty for SHANNON M. EWING (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does SHANNON M. EWING (M.D.) serve?
SHANNON M. EWING (M.D.)'s listing highlights Evanston, Illinois; more addresses can appear in NPPES.
Why does SHANNON M. EWING (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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