DR. SHANNON L KAUFFMAN (M.D.) – Diagnostic Radiology Physician, NPI 1417164880
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
Provider Addresses for DR. SHANNON L KAUFFMAN (M.D.)
PO BOX 750243
DAYTON, OH 454750243
Phone: (937) 709-5051
Fax: (937) 709-5050
Type: Mailing
1 WYOMING ST
DAYTON, OH 454092722
Phone: (937) 208-5642
Type: Location
5017, Cross Key Court, Indianapolis, Marion County, Indiana, 46268, United States
INDIANAPOLIS, IN 462684473
Phone: (317) 293-1462
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,279.
Total Amount is formed as General ($1,279) + Research ($0) + Ownership ($0) = $1,279.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: HISTOSONICS, INC. ($1,141).
Total Amount
$1,279
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HISTOSONICS, INC. | $1,141 |
| AngioDynamics, Inc. | $67 |
| Regeneron Healthcare Solutions, Inc. | $36 |
| Solventum Corporation | $20 |
| Merck Sharp & Dohme LLC | $16 |
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: 2009-10-20
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 |
|---|---|---|---|---|
| I20091020000248 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 383 | 362 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 121 | 110 | $0 |
| 71250 | Ct scan of chest without contrast | 85 | 85 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 74 | 73 | $0 |
| 70450 | Ct scan head or brain without contrast | 72 | 72 | $0 |
Insurance plans in this area (ZIP 45475)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 217 | 193 |
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 28 | 27 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 29 | 29 |
| DIAGNOSTIC RADIOLOGY | IN | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Addiction Medicine | NV | |
| - | OH | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| - | OH |
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