PETER ANDREW SHANNON (P.A.) – Physician Assistant, NPI 1891081626
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for PETER ANDREW SHANNON (P.A.)
41424 ANN ARBOR RD E
PLYMOUTH, MI 481708005
Phone: (989) 413-0862
Type: Mailing
44727 ERIK PASS
PLYMOUTH, MI 481703976
Phone: (989) 413-0862
Type: Mailing
2070 BIDDLE AVE
WYANDOTTE, MI 481924080
Phone: (734) 225-9100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-08-03
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 |
|---|---|---|---|---|
| I20110803000486 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,539 | 183 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 229 | 135 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 77 | 23 | $0 |
| 20605 | Aspiration and/or injection of fluid from medium joint | 58 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 48170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI |
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