DR. SHANNON L. SERVIN-OBERT (D.O.) – Emergency Medicine Physician, NPI 1285861989
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SHANNON L. SERVIN-OBERT (D.O.)
834 SHERIDAN ST
PORT TOWNSEND, WA 983682443
Phone: (360) 385-2200
Fax: (360) 344-1019
Type: Mailing
390 Founders Way
Forks, WA 983319062
Phone: (360) 374-6998
Type: Location
525 N Santiam Hwy
Lebanon, OR 973554363
Phone: (541) 258-2101
Type: Location
Bogachiel Clinic, 390, Founders Way, Forks, Clallam County, Washington, 98331, United States
FORKS, WA 983319062
Phone: (360) 374-6998
Type: Mailing
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: 2016-04-15
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 |
|---|---|---|---|---|
| I20110510000545 | I | Family Practice | WA | TBD |
| I20160415000240 | I | Emergency Medicine | OR | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 328 | 282 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 190 | 179 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 36 | 34 | $0 |
Insurance plans in this area (ZIP 98368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Emergency Medicine | ME | |
| Emergency Medicine | UT | |
| Emergency Medicine | TX | |
| Emergency Medicine | WA | |
| Emergency Medicine | IL | |
| Emergency Medicine | WA | |
| - | WA | |
| Emergency Medicine | WA | |
| Emergency Medicine | PA |
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