DR. SHANNON MICHELLE DAVIS (DO) – Surgery Physician, NPI 1215059506

DR. SHANNON MICHELLE DAVIS (DO) is a healthcare provider. based in Lawrenceburg, Indiana. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 036164424 (IL). The NPI Number for DR. SHANNON MICHELLE DAVIS (DO) is 1215059506

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON MICHELLE DAVIS (DO)
NPI
1215059506
Phone
(812) 537-5772
Address
368 BIELBY RD
Enumeration Date
6 April 2007
Last Update Date
15 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009916117
Graduation Year
2005 (21 years ago)
PAC ID
8527192970
Group Practice PAC ID
4486986122
Professional Enrollment ID
I20230522002200
Address ID
IL604532572OA4700XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

729 GENERAL SURGERY in IN

Provider Addresses for DR. SHANNON MICHELLE DAVIS (DO)

  • 368 BIELBY RD

    SUITE 100

    LAWRENCEBURG, IN 470252774

    Phone: (812) 537-5772

    Fax: (812) 537-3939

    Type: Mailing

  • 3820 NORTHDALE BLVD STE 201

    TAMPA, FL 336241893

    Phone: (813) 280-0705

    Fax: (813) 434-2023

    Type: Mailing

  • 15303 S 94TH AVE STE 110

    ORLAND PARK, IL 604623825

    Phone: (800) 991-6117

    Fax: (888) 812-8191

    Type: Location

  • 11595 N MERIDIAN ST STE 375

    CARMEL, IN 460323950

    Phone: (317) 575-7304

    Fax: (317) 575-7333

    Type: Mailing

  • 4850 RED BANK RD FL 3

    CINCINNATI, OH 452271545

    Phone: (513) 221-2544

    Fax: (513) 221-1320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Tactile Systems Technology Inc ($56).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

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: 2023-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100820000151IGeneral SurgeryINTBD
I20230522002200IGeneral SurgeryILTBD

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
93971Ultrasound study of one arm or leg veins with compression and maneuvers12637$0
99214Established patient office or other outpatient visit, 30-39 minutes10844$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance9426$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance8025$0
76942Ultrasonic guidance for needle placement5527$0
View full utilization report →

Insurance plans in this area (ZIP 47025)

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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: 4486986122View full group profile
NameSpecialtyState
General SurgeryFL
Family Practice, Internal Medicine, Peripheral Vascular DiseaseFL
Interventional Radiology, Diagnostic RadiologyFL
General SurgeryIL
Internal MedicineFL
General SurgeryFL
Internal MedicineIL
Thoracic Surgery, General SurgeryCA
General PracticeIL

Reviews

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Frequently asked questions

Does DR. SHANNON MICHELLE DAVIS (DO) have a public NPI I can cite?
Public records show DR. SHANNON MICHELLE DAVIS (DO) under NPI 1215059506.
Quick check: is DR. SHANNON MICHELLE DAVIS (DO) active?
Public NPPES data shows DR. SHANNON MICHELLE DAVIS (DO) with an active NPI status right now.
Which specialty label fits DR. SHANNON MICHELLE DAVIS (DO)?
NPPES ties DR. SHANNON MICHELLE DAVIS (DO) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHANNON MICHELLE DAVIS (DO)?
DR. SHANNON MICHELLE DAVIS (DO) is associated with Lawrenceburg, Indiana in the same public data insurers reference.
Can I export DR. SHANNON MICHELLE DAVIS (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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