JOHN R SHANNON (M. D.) – Anesthesiology Physician, NPI 1316968613

JOHN R SHANNON (M. D.) is a healthcare provider. based in Roanoke, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials M. D.. They hold a License No. 0101048802 (VA). The NPI Number for JOHN R SHANNON (M. D.) is 1316968613

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOHN R SHANNON (M. D.)
NPI
1316968613
Phone
(540) 772-7200
Address
PO BOX 13888
Enumeration Date
21 July 2006
Last Update Date
14 February 2008

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
5409535374
Graduation Year
1988 (38 years ago)
PAC ID
0345154563
Group Practice PAC ID
7416851597
Professional Enrollment ID
I20031113000033
Address ID
VA240607017BL3700XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,337 ANESTHESIOLOGY in VA

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Provider Addresses for JOHN R SHANNON (M. D.)

  • USPS Roanoke PO Box Area, 516, East Byron Nelson Boulevard, Roanoke, Denton County, Texas, 76262, United States

    ROANOKE, VA 240383888

    Phone: (540) 772-7200

    Type: Mailing

  • LewisGale Medical Center, 1900, Electric Road, Cliffview, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241537474

    Phone: (540) 772-7200

    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: 2003-11-13

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
I20031113000033IAnesthesiologyVATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3634$0
00811Anesthesia for other procedure on large bowel using an endoscope3030$0
01402Anesthesia for procedure for total knee joint replacement1818$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 24038)

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Provider's Procedures

JOHN R SHANNON (M. D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYVA00142Anesthesia for lens surgery3832
ANESTHESIOLOGYVA00790Anesthesia for procedure in upper abdomen including use of an endoscope1919

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: 7416851597View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNM
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA

Reviews

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Frequently asked questions

What number should I use to identify JOHN R SHANNON (M. D.) for billing?
Administrative and clinical systems typically use NPI 1316968613 for JOHN R SHANNON (M. D.).
Is JOHN R SHANNON (M. D.) currently accepting referrals based on NPI status?
Registry metadata lists JOHN R SHANNON (M. D.) as active.
What type of care does JOHN R SHANNON (M. D.) provide?
JOHN R SHANNON (M. D.)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is JOHN R SHANNON (M. D.) tied to Roanoke, Virginia?
If you are local to Roanoke, Virginia, JOHN R SHANNON (M. D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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