SHANNON M BURGESS (O.D.) – Optometrist, NPI 1457313835

SHANNON M BURGESS (O.D.) is a healthcare provider. based in Phoenixville, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG000127 (PA). The NPI Number for SHANNON M BURGESS (O.D.) is 1457313835

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON M BURGESS (O.D.)
NPI
1457313835
Phone
(610) 917-0700
Address
1260 VALLEY FORGE RD
Enumeration Date
3 April 2006
Last Update Date
12 October 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6109170700
Graduation Year
2000 (26 years ago)
PAC ID
5799835864
Professional Enrollment ID
I20090611000069
Address ID
PA194602691PH1260XRDXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

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Provider Addresses for SHANNON M BURGESS (O.D.)

  • Phoenixville Family Dentistry, 883, Valley Forge Road, Corner Stores, Schuylkill Township, Chester County, Pennsylvania, 19460, United States

    SUITE 108

    PHOENIXVILLE, PA 194602691

    Phone: (610) 917-0700

    Fax: (610) 917-0708

    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 14 Open Payments records for all available years, with a total value of $642.

Total Amount is formed as General ($642) + Research ($0) + Ownership ($0) = $642.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: CooperVision Inc. ($309).

Total Amount

$642

General + Research + Ownership

Payments

14

Total payment records

General Amount

$642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2009-06-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090611000069IOptometryPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina5246$0
92014Established patient complete exam of visual system5145$0
99213Established patient office or other outpatient visit, 20-29 minutes2621$0
99214Established patient office or other outpatient visit, 30-39 minutes2218$0
92004New patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 19460)

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Reviews

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Frequently asked questions

Can I cross-check SHANNON M BURGESS (O.D.) using NPI 1457313835?
NPI 1457313835 belongs to SHANNON M BURGESS (O.D.); compare other details if you need extra assurance.
Is SHANNON M BURGESS (O.D.) shown as active in public data?
Registry records indicate SHANNON M BURGESS (O.D.) maintains an active NPI.
What area of care is associated with SHANNON M BURGESS (O.D.)?
SHANNON M BURGESS (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with SHANNON M BURGESS (O.D.)?
Directory geography for SHANNON M BURGESS (O.D.) centers on Phoenixville, Pennsylvania.
When was this NPI issued?
Enumeration for SHANNON M BURGESS (O.D.) is noted as April 3, 2006 where the registry provides it.

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