DR. SHANNON LEE SCHAUER LEVERIDGE (MD) – Obstetrics & Gynecology Physician, NPI 1962728972

DR. SHANNON LEE SCHAUER LEVERIDGE (MD) is a healthcare provider. based in Davenport, Iowa. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 41984 (IA). The NPI Number for DR. SHANNON LEE SCHAUER LEVERIDGE (MD) is 1962728972

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON LEE SCHAUER LEVERIDGE (MD)
NPI
1962728972
Phone
(563) 359-6633
Address
1510 E RUSHOLME ST
Enumeration Date
15 April 2010
Last Update Date
13 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5633363000
Graduation Year
2014 (12 years ago)
PAC ID
2365764560
Group Practice PAC ID
9830008895
Professional Enrollment ID
I20141125000321
Address ID
IA528032463DA1510XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

359 OBSTETRICS/GYNECOLOGY in IA

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Provider Addresses for DR. SHANNON LEE SCHAUER LEVERIDGE (MD)

  • 1510, East Rusholme Street, Davenport, Scott County, Iowa, 52803, United States

    DAVENPORT, IA 528032463

    Phone: (563) 359-6633

    Mailing address matches the actual address.

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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2014-11-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141125000321IObstetrics/GynecologyIATBD

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
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina4235$0
View full utilization report →

Insurance plans in this area (ZIP 52803)

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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: 9830008895View full group profile
NameSpecialtyState
-IA
Nurse PractitionerIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Nurse PractitionerIA
Certified Nurse Midwife (Cnm)IA
Nurse PractitionerIL
Nurse PractitionerIA
Certified Nurse Midwife (Cnm)IN
Family PracticeIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SHANNON LEE SCHAUER LEVERIDGE (MD)?
NPI 1962728972 is assigned to DR. SHANNON LEE SCHAUER LEVERIDGE (MD) under the national enumeration system.
Is DR. SHANNON LEE SCHAUER LEVERIDGE (MD) active in the national directory?
DR. SHANNON LEE SCHAUER LEVERIDGE (MD)'s public NPI profile is in an active state.
What field does DR. SHANNON LEE SCHAUER LEVERIDGE (MD) work in?
You can think of DR. SHANNON LEE SCHAUER LEVERIDGE (MD) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. SHANNON LEE SCHAUER LEVERIDGE (MD)?
We surface Davenport, Iowa for DR. SHANNON LEE SCHAUER LEVERIDGE (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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