SHANNON WELTER (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1386873958
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
518 PATHOLOGY in MN
Provider Addresses for SHANNON WELTER (MD)
820 Brockton Ln N
Plymouth, MN 554473343
Phone: (612) 720-8885
Type: Location
820 BROCKTON LN N
PLYMOUTH, MN 554473343
Phone: (612) 720-8885
Type: Mailing
6401 FRANCE AVE S
EDINA, MN 554352104
Phone: (952) 924-5000
Type: Location
Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States
NMCSD
SAN DIEGO, CA 921341098
Phone: (612) 720-8885
Type: Location
La Jolla Commons, 4747, Executive Drive, Golden Triangle, University City, San Diego, San Diego County, California, 92121, United States
F409
LA JOLLA, CA 920371364
Phone: (612) 720-8885
Type: Mailing
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: 2022-04-06
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 |
|---|---|---|---|---|
| I20220406001461 | I | Pathology | MN | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 143 | 110 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 93 | 33 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 83 | 40 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 78 | 27 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 71 | 49 | $0 |
Insurance plans in this area (ZIP 55447)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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