SHANNON N MCKEEN (DO) – Dermatology Physician, NPI 1093159964
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for SHANNON N MCKEEN (DO)
7580 AUBURN RD STE 301
CONCORD TWP, OH 440779618
Phone: (440) 352-7546
Fax: (440) 352-5260
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 177 Open Payments records for all available years, with a total value of $3,588.
Total Amount is formed as General ($3,588) + Research ($0) + Ownership ($0) = $3,588.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($490).
Total Amount
$3,588
General + Research + Ownership
Payments
177
Total payment records
General Amount
$3,588
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $490 |
| Janssen Biotech, Inc. | $418 |
| Dermavant Sciences, Inc. | $389 |
| Regeneron Healthcare Solutions, Inc. | $367 |
| E.R. Squibb & Sons, L.L.C. | $313 |
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: 2017-08-15
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 |
|---|---|---|---|---|
| I20170815001141 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 139 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 220 | 49 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 117 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 73 | 48 | $0 |
Insurance plans in this area (ZIP 44077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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