DR. SHANNON KIMBERLY LIEB (DO) – Family Medicine Physician, NPI 1093966046

DR. SHANNON KIMBERLY LIEB (DO) is a healthcare provider. based in Glen allen, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS015474 (PA). The NPI Number for DR. SHANNON KIMBERLY LIEB (DO) is 1093966046

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON KIMBERLY LIEB (DO)
NPI
1093966046
Phone
(804) 968-5700
Address
5000 COX RD
Enumeration Date
8 October 2008
Last Update Date
17 February 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2676953944
Graduation Year
2008 (18 years ago)
PAC ID
8123296787
Group Practice PAC ID
5193900280
Professional Enrollment ID
I20110726000493
Address ID
PA189369602MO713XXPIKE300

Contacts

Secure Messaging
PAExchange@patientfirstclinics.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

6,103 FAMILY PRACTICE in PA

Provider Addresses for DR. SHANNON KIMBERLY LIEB (DO)

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Type: Mailing

  • 950 Octorara Trail

    Parkesburg, PA 193652150

    Phone: (610) 857-6616

    Type: Location

  • East Lancaster Avenue, Downingtown, Chester County, Pennsylvania, 19335, United States

    DOWNINGTOWN, PA 193353328

    Phone: (484) 593-5160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-07-26

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
I20110726000493IFamily PracticePATBD

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 minutes363306$0
99214Established patient office or other outpatient visit, 30-39 minutes203182$0
71046X-ray of chest, 2 views179163$0
99203New patient office or other outpatient visit, 30-44 minutes146146$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza125119$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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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: 5193900280View full group profile
NameSpecialtyState
Family PracticePA
Physician AssistantNJ
Physician AssistantVA
-GA
-VA
Family PracticeMD
Physician AssistantNJ
Physician AssistantVA
Physician AssistantPA
-PA

Reviews

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Frequently asked questions

Is DR. SHANNON KIMBERLY LIEB (DO) listed with a National Provider Identifier?
Yes — DR. SHANNON KIMBERLY LIEB (DO) has NPI 1093966046 on file in the registry.
Active or inactive — what applies to DR. SHANNON KIMBERLY LIEB (DO)?
You should see DR. SHANNON KIMBERLY LIEB (DO) as active in CMS-hosted NPPES data.
What area of care is associated with DR. SHANNON KIMBERLY LIEB (DO)?
DR. SHANNON KIMBERLY LIEB (DO)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. SHANNON KIMBERLY LIEB (DO) registered?
Use Glen Allen, Virginia as the headline location for DR. SHANNON KIMBERLY LIEB (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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