SHANNON DALE ARMSTRONG (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1780891176
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 HAND SURGERY in MI
Provider Addresses for SHANNON DALE ARMSTRONG (M.D.)
245 CHERRY STREET S.E.
SUITE 302
GRAND RAPIDS, MI 495034607
Phone: (616) 459-4131
Fax: (616) 459-6030
Type: Location
245, Cherry Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 302
GRAND RAPIDS, MI 495034607
Phone: (616) 459-4131
Fax: (616) 459-6030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $567.
Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.
Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Mentor Worldwide LLC ($567).
Total Amount
$567
General + Research + Ownership
Payments
8
Total payment records
General Amount
$567
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $567 |
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: 2012-07-17
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 |
|---|---|---|---|---|
| I20120717000552 | I | Hand 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 141 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 51 | 36 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 48 | 48 | $0 |
| 97022 | Application of whirlpool therapy | 46 | 21 | $0 |
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery, Hand Surgery | MI | |
| - | MI | |
| Plastic And Reconstructive Surgery, Hand Surgery | MI |
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