SHANNON KYLE KANEASTER (M.D.) – Otolaryngology Physician, NPI 1275672529
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OTOLARYNGOLOGY in OK
Provider Addresses for SHANNON KYLE KANEASTER (M.D.)
3033 NW 63RD ST
SUITE 152
OKLAHOMA CITY, OK 731163634
Phone: (405) 755-6651
Fax: (405) 607-3559
Type: Mailing
5701 N PORTLAND AVE
SUITE 305
OKLAHOMA CITY, OK 731121678
Phone: (405) 604-4475
Fax: (405) 604-4480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $397.
Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($231).
Total Amount
$397
General + Research + Ownership
Payments
3
Total payment records
General Amount
$397
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $231 |
| Medtronic, Inc. | $166 |
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: 2008-11-18
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 |
|---|---|---|---|---|
| I20081118000171 | I | Otolaryngology | OK | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 370 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 133 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 122 | $0 |
| 69210 | Removal of impacted ear wax | 133 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 97 | 97 | $0 |
Insurance plans in this area (ZIP 73116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK | |
| O T O L A R Y N G O L O G Y | OK |
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