SHANNON M. HOGAN (D.O.) – Pediatrics Physician, NPI 1265613426
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON M. HOGAN (D.O.)
189 Prouty Dr
Newport, VT 058559326
Phone: (802) 334-3291
Type: Location
927 Ethan Allen Hwy Ste 1
Milton, VT 054689746
Phone: (802) 527-2237
Type: Location
601 Childrens Ln
Norfolk, VA 235071910
Phone: (757) 668-7456
Type: Location
130 Fisher Rd
Berlin, VT 056029516
Phone: (802) 371-4100
Type: Location
601, Childrens Lane, Norfolk, Virginia, 23507, United States
NORFOLK, VA 235071910
Phone:
Type: Mailing
UVMMC DU Campus Arnold Pavilion, 1, South Prospect Street, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054013456
Phone: (802) 847-4696
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: 2019-03-08
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 |
|---|---|---|---|---|
| I20190115001761 | I | Pediatric Medicine | CT | TBD |
| I20190308000193 | I | Pediatric Medicine | VT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05855)
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