SHANNON MARIE CONVERY (PA-C) – Medical Physician Assistant, NPI 1871803676
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for SHANNON MARIE CONVERY (PA-C)
4211 WOOSTER RD
FAIRVIEW PARK, OH 441263417
Phone: (440) 289-7243
Type: Mailing
5172 LEAVITT RD
LORAIN, OH 440532384
Phone: (440) 282-3385
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $130.
Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($21).
Total Amount
$130
General + Research + Ownership
Payments
7
Total payment records
General Amount
$130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $21 |
| Lilly USA, LLC | $20 |
| Merck Sharp & Dohme LLC | $19 |
| PFIZER INC. | $19 |
| Exact Sciences Corporation | $18 |
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: 2014-10-27
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 |
|---|---|---|---|---|
| I20141027001815 | I | Physician Assistant | 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 | 61 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 28 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 17 | 17 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | IL | |
| Cardiovascular Disease (Cardiology) | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC |
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