RANDALL J SHANNON MD
NPI 1043327562
Pathology - Anatomic Pathology & Clinical Pathology in Butte, MT

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
99.26/100
CMS Quality Rating
400 S CLARK ST, BUTTE, MT 59701(406) 782-7442 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall J Shannon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL J SHANNON MD (NPI 1043327562) is an individual anatomic pathology & clinical pathology provider in Butte, Montana, licensed in Montana (8104) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Indiana University School Of Medicine (1987).

NPPES Registry Identity

NPI1043327562
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRANDALL J SHANNONCredential: MD
Location Address400 S CLARK STButte, MT 59701-2328
Mailing AddressPo Box 4108Butte, MT 59702-4108 · (406) 782-7442
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1987
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 14, 2008
NPI 1043327562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MT · 8104
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

400 S CLARK ST, Butte, MT 59701

Other Identifiers 3

Other011991MT · Bcbs
Medicare UPINR39613
Medicaid019994MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randall J Shannon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264441047
PECOS Enrollment IDI20080212000516
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,267 services690 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
253 services60 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
182 services131 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
114 services84 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
80 services75 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
80 services75 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Community Hospital Of Anaconda

Critical Access Hospitals · Anaconda, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271335
Location401 W PennsylvaniaAnaconda, MT 59711 · Deer Lodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost97.55

Reported Quality Measures

Skin Cancer: Biopsy Reporting Time - Pathologist to Clinician
100%97 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
400 S CLARK ST
BUTTE, MT 59701
Nurse Anesthetist, Certified Registered
400 S CLARK ST
BUTTE, MT 59701
Registered Nurse (Continuing Education/Staff Development)
400 S CLARK ST
BUTTE, MT 59701
General Acute Care Hospital (Rural)
400 S CLARK ST
BUTTE, MT 59701
Anesthesiology
400 S CLARK ST
BUTTE, MT 59701
Physical Therapist
400 S CLARK ST
BUTTE, MT 59701
Internal Medicine
400 S CLARK ST
BUTTE, MT 59701
Dietitian, Registered
400 S CLARK ST
BUTTE, MT 59701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Shannon's NPI number?

The NPI number for Randall Shannon is 1043327562. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Randall Shannon located?

Randall Shannon practices at 400 S Clark St, Butte, MT 59701. The listed phone number is (406) 782-7442.

What is Randall Shannon's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Randall Shannon enrolled in Medicare?

Yes. Randall Shannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Shannon accept?

Health plans from Blue Cross and Blue Shield of Montana list Randall Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Randall Shannon affiliated with any hospitals?

According to CMS data, Randall Shannon is affiliated with University Of Michigan Health System, St James Healthcare and Community Hospital Of Anaconda.

When was this NPI record last updated?

The NPPES record for Randall Shannon was last updated on January 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.