SHANNON M. RUSH DPM
NPI 1083788681
Podiatrist in Pleasanton, CA

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
4626 WILLOW RD, STE 200, PLEASANTON, CA 94588(925) 463-0470(844) 830-3541 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Feb 3, 2020 (2 updates tracked since 2020).

About Shannon M. Rush Dpm NPPES

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

SHANNON M. RUSH DPM (NPI 1083788681) is an individual podiatrist in Pleasanton, California, licensed in California (E4271) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sunnyvale, and is a graduate of California School Of Podiatric Medicine (1997).

NPPES Registry Identity

NPI1083788681
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSHANNON M. RUSHCredential: DPM
Location Address4626 WILLOW RD, STE 200Pleasanton, CA 94588-8564
Mailing Address4626 Willow Rd, Ste 200Pleasanton, CA 94588-8564 · (925) 463-0470 · Fax (844) 830-3541
Fax(844) 830-3541
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1997
Enumeration DateNovember 17, 2006
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1083788681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E4271
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4626 WILLOW RD, Pleasanton, CA 94588

Secondary Practice Location 1

Location 1701 E El Camino RealSunnyvale, CA 94040 · Phone (650) 934-7090

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

Shannon M. Rush Dpm 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 ID547346355
PECOS Enrollment IDI20080319000351
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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
433 services216 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
158 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
155 services155 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
153 services88 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
84 services52 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
60 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
3 suppliers25 claims25 services$45.67 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers35 claims35 services$245.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery (Hand Surgery)
4626 WILLOW RD
PLEASANTON, CA 94588
Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery (Sports Medicine)
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Occupational Therapist
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Physical Therapist
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

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 Shannon Rush's NPI number?

The NPI number for Shannon Rush is 1083788681. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Shannon Rush located?

Shannon Rush practices at 4626 Willow Rd Ste 200, Pleasanton, CA 94588. The listed phone number is (925) 463-0470.

What is Shannon Rush's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Shannon Rush enrolled in Medicare?

Yes. Shannon Rush 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.

When was this NPI record last updated?

The NPPES record for Shannon Rush was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.