DR. DALLAS SHONE (MD) – Gastroenterology Physician, NPI 1043213101

DR. DALLAS SHONE (MD) is a healthcare provider. based in Kingsport, Tennessee. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD25581 (TN). The NPI Number for DR. DALLAS SHONE (MD) is 1043213101

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALLAS SHONE (MD)
NPI
1043213101
Phone
(423) 857-2066
Address
PO BOX 9
Enumeration Date
23 May 2005
Last Update Date
7 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2766763870
Graduation Year
1983 (43 years ago)
PAC ID
4183708647
Group Practice PAC ID
8224935754
Professional Enrollment ID
I20140224002011
Address ID
VA242109700AB631XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

401 GASTROENTEROLOGY in TN

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Provider Addresses for DR. DALLAS SHONE (MD)

  • Kingsport, Sullivan County, Tennessee, United States

    KINGSPORT, TN 376620009

    Phone: (423) 857-2066

    Fax: (423) 857-2070

    Type: Mailing

  • West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States

    STE 4C

    KINGSPORT, TN 376603256

    Phone: (423) 578-1595

    Fax: (423) 392-6624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $2,668.

Total Amount is formed as General ($2,668) + Research ($0) + Ownership ($0) = $2,668.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($562).

Total Amount

$2,668

General + Research + Ownership

Payments

156

Total payment records

General Amount

$2,668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100818000362IGastroenterologyTNTBD
I20140224002011IGastroenterologyVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes245180$0
88305Pathology examination of tissue using a microscope, intermediate complexity17876$0
99203New patient office or other outpatient visit, 30-44 minutes112112$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare105105$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope103102$0
View full utilization report →

Insurance plans in this area (ZIP 37662)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224935754View full group profile
NameSpecialtyState
Internal MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
P O D I A T R YTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantTN
Family PracticeTN
Family PracticeVA

Reviews

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Frequently asked questions

How do I look up DR. DALLAS SHONE (MD) by NPI?
Use NPI 1043213101 when you need to reference DR. DALLAS SHONE (MD) in forms, claims, or directories.
Is DR. DALLAS SHONE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. DALLAS SHONE (MD)?
The page reflects Gastroenterology Physician for DR. DALLAS SHONE (MD). Clinical services aligned with this taxonomy classification.
Where is DR. DALLAS SHONE (MD)'s primary listing?
We display Kingsport, Tennessee because that is what the record indicates for DR. DALLAS SHONE (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.