CHARLES J SHANLEY (MD) – Vascular Surgery Physician, NPI 1689614141
Vascular Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
242 VASCULAR SURGERY in MI
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Provider Addresses for CHARLES J SHANLEY (MD)
Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480333849
Phone:
Type: Mailing
East Jefferson Avenue, Grosse Pointe, Wayne County, Michigan, 48230, United States
GROSSE POINTE, MI 482301923
Phone: (313) 473-4690
Fax: (248) 551-3023
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $2,236.
Total Amount is formed as General ($2,236) + Research ($0) + Ownership ($0) = $2,236.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($2,167).
Total Amount
$2,236
General + Research + Ownership
Payments
5
Total payment records
General Amount
$2,236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $2,167 |
| Inari Medical, Inc. | $33 |
| CORDIS US CORP. | $22 |
| Medtronic, Inc. | $14 |
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: 2004-10-21
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 |
|---|---|---|---|---|
| I20041021000762 | I | Vascular Surgery | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 33 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 56 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 53 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 38 | 16 | $0 |
Insurance plans in this area (ZIP 48033)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Vascular Surgery | MI | |
| General Surgery, Vascular Surgery, Critical Care (Intensivists) | MI | |
| Nurse Practitioner | IL | |
| Vascular Surgery | MI | |
| Vascular Surgery | PA |
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