SHELLY C. LALL (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1740235886
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 CARDIAC SURGERY in MI
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Provider Addresses for SHELLY C. LALL (M.D.)
1221, Sixth Street, Kids Creek, Traverse City, Grand Traverse County, Michigan, 49684, United States
SUITE 202
TRAVERSE CITY, MI 496842359
Phone: (231) 935-5730
Fax: (231) 935-5736
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 29 Open Payments records for all available years, with a total value of $11,024.
Total Amount is formed as General ($11,024) + Research ($0) + Ownership ($0) = $11,024.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,244).
Total Amount
$11,024
General + Research + Ownership
Payments
29
Total payment records
General Amount
$11,024
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $9,244 |
| Edwards Lifesciences Corporation | $823 |
| ATRICURE, INC. | $615 |
| Olympus America Inc. | $149 |
| LSI SOLUTIONS INC | $143 |
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: 2012-10-11
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 |
|---|---|---|---|---|
| I20121011000488 | I | Cardiac 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
| 33361 | Replacement of aortic valve through the skin and femoral artery | 14 | 14 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 13 | 13 | $0 |
Insurance plans in this area (ZIP 49684)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC SURGERY | MI | 33533 | Heart artery bypass to repair one artery | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
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