MS. MARY ANN SHANNON – Orthopaedic Surgery Physician, NPI 1679562425
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
252 ORTHOPEDIC SURGERY in NV
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Provider Addresses for MS. MARY ANN SHANNON
501, South Rancho Drive, Rancho Circle, Las Vegas, Clark County, Nevada, 89106, United States
SUITE I67
LAS VEGAS, NV 891064828
Phone: (702) 243-4700
Fax: (702) 243-7074
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 6 Open Payments records for all available years, with a total value of $465.
Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($270).
Total Amount
$465
General + Research + Ownership
Payments
6
Total payment records
General Amount
$465
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $270 |
| Nevro Corp. | $106 |
| Medtronic, Inc. | $47 |
| SI-BONE, INC. | $42 |
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: 2007-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040602000692 | I | Orthopedic Surgery | NV | TBD |
| I20070124000467 | I | Orthopedic Surgery | UT | 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 | 77 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 27 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 16 | 11 | $0 |
Insurance plans in this area (ZIP 89106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | CA | |
| Orthopedic Surgery | NV | |
| Physical Medicine And Rehabilitation | NV | |
| Physician Assistant | NV |
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