SHAWN J. PELLETIER (M.D.) – Transplant Surgery Physician, NPI 1972604882
Transplant Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for SHAWN J. PELLETIER (M.D.)
1215 Lee St
Charlottesville, VA 229083363
Phone: (434) 924-0211
Type: Location
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
Jefferson Park Avenue, Hereford Residential College, Charlottesville, Virginia, United States
CHARLOTTESVILLE, VA 229033363
Phone: (800) 543-8814
Fax: (434) 924-5539
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 $486.
Total Amount is formed as General ($486) + Research ($0) + Ownership ($0) = $486.
Last reported payment date: 2023-05-26 • Largest payer in this snapshot: Organ Recovery Systems, Inc. ($420).
Total Amount
$486
General + Research + Ownership
Payments
2
Total payment records
General Amount
$486
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organ Recovery Systems, Inc. | $420 |
| Medtronic, Inc. | $66 |
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: 2012-08-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120821000847 | I | General Surgery | VA | 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 | 45 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 30 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 22908)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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