SHAN R FAIRBANKS (D.O.) – Family Medicine Physician, NPI 1003202847
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for SHAN R FAIRBANKS (D.O.)
250 S MAIN ST STE 224A
BLACKSBURG, VA 240604726
Phone: (540) 552-7133
Type: Mailing
3370 Pump Rd
Richmond, VA 232331130
Phone: (804) 360-8061
Type: Location
213 S JEFFERSON ST STE 625
ROANOKE, VA 240111713
Phone: (540) 224-5516
Fax: (540) 224-5684
Type: Mailing
118 BROAD ST
DUBLIN, VA 240843211
Phone: (540) 674-8805
Fax: (540) 674-8670
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-11-17 • Largest payer in this snapshot: Boston Scientific Corporation ($20).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $20 |
| ABBVIE INC. | $14 |
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: 2020-05-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180227000607 | I | Family Practice | VA | TBD |
| I20200518002653 | I | Family Practice | WV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 670 | 262 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 492 | 274 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 367 | 232 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 197 | 151 | $0 |
| 83036 | Hemoglobin a1c level | 174 | 123 | $0 |
Insurance plans in this area (ZIP 24060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA |
Reviews
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