SHANNON COTHRAN (MD) – Gynecology Physician, NPI 1477769677

SHANNON COTHRAN (MD) is a healthcare provider. based in Fairfax, Virginia. specializing in Gynecology Physician. They hold the professional credentials MD. They hold a License No. 0101243468 (VA). The NPI Number for SHANNON COTHRAN (MD) is 1477769677

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON COTHRAN (MD)
NPI
1477769677
Phone
(703) 281-5000
Address
10521 ROSEHAVEN ST STE LL100
Enumeration Date
15 May 2007
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7032875000
Graduation Year
2004 (22 years ago)
PAC ID
9638230105
Group Practice PAC ID
4880582741
Professional Enrollment ID
I20081203000488

Contacts

Secure Messaging
shannon.cothran.d1.p1@direct.cwcare.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for SHANNON COTHRAN (MD)

  • 10521 ROSEHAVEN ST STE LL100

    FAIRFAX, VA 22030

    Phone: (703) 281-5000

    Fax: (703) 255-0765

    Type: Location

  • Maple Lawn Boulevard, Maple Lawn, Scaggsville, Howard County, Maryland, 20759, United States

    FULTON, MD 207592694

    Phone: (301) 340-8339

    Fax: (301) 340-9027

    Type: Mailing

  • 2010 CORPORATE RDG

    MC LEAN, VA 221027853

    Phone: (571) 297-4200

    Fax: (571) 297-4200

    Type: Mailing

  • 2010 CORPORATE RDG STE 510

    MC LEAN, VA 221027838

    Phone: (571) 297-4200

    Fax: (571) 297-4551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($39).

Total Amount

$60

General + Research + Ownership

Payments

5

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-03-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-24

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
I20081203000488IObstetrics/GynecologyDCTBD
I20250324003154IObstetrics/GynecologyVATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination6060$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 22030)

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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: 4880582741View full group profile
NameSpecialtyState
-MD
O B S T E T R I C S/ G Y N E C O L O G YMD
-MD
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YMD
-MD
-MD
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YMD
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

What identifier follows SHANNON COTHRAN (MD) across health systems?
The NPI 1477769677 uniquely identifies SHANNON COTHRAN (MD) in U.S. healthcare data.
Should I treat SHANNON COTHRAN (MD) as an active provider?
Patients and plans typically see SHANNON COTHRAN (MD) as active in the national extract.
What type of care does SHANNON COTHRAN (MD) provide?
SHANNON COTHRAN (MD)'s profile centers on Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SHANNON COTHRAN (MD) in Fairfax, Virginia?
For routing, start with Fairfax, Virginia for SHANNON COTHRAN (MD), then verify phone and hours locally.
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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