FADEL SHAMMOUT (MD) – Obstetrics & Gynecology Physician, NPI 1124205539
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
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Provider Addresses for FADEL SHAMMOUT (MD)
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
C375
LEXINGTON, KY 405360293
Phone: (859) 323-0005
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 19 Open Payments records for all available years, with a total value of $12,019.
Total Amount is formed as General ($12,019) + Research ($0) + Ownership ($0) = $12,019.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($11,986).
Total Amount
$12,019
General + Research + Ownership
Payments
19
Total payment records
General Amount
$12,019
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $11,986 |
| GlaxoSmithKline, LLC. | $33 |
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: 2016-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110805000529 | I | Obstetrics/Gynecology | CA | TBD |
| I20160912002299 | I | Obstetrics/Gynecology | KY | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 21 | 21 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 16 | 16 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 12 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 13 | 13 | $0 |
Insurance plans in this area (ZIP 40536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| - | CA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease | MD | |
| O P T O M E T R Y | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| Orthopedic Surgery | CA | |
| Pulmonary Disease, Internal Medicine | UT |
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