MR. SHANNON R PECK M.D.
NPI 1083819650
Radiology - Diagnostic Radiology in Sioux Falls, SD

Q: What is Shannon Peck's NPI number?

The NPI number for Shannon Peck is 1083819650. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Q: What is Shannon Peck's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Peck was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment

77.99/100

CMS Quality Rating

1210 W 18TH ST, STE LL03, SIOUX FALLS, SD 57104(605) 328-1410(605) 328-1412 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2025, Jul 1, 2019, Jun 3, 2019 (3 updates tracked since 2019).

On this page

About Mr. Shannon R Peck M.d. NPPES

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

MR. SHANNON R PECK M.D. (NPI 1083819650) is an individual diagnostic radiology provider in Sioux Falls, South Dakota, licensed in South Dakota (8389) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2011).

NPPES Registry Identity

NPI1083819650

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMR. SHANNON R PECKCredential: M.D.

Location Address1210 W 18TH ST, STE LL03Sioux Falls, SD 57104-4647

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512

Phone(605) 328-1410

Fax(605) 328-1412

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2011

Enumeration DateJune 15, 2007

Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1083819650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in SD · 8389

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 8389 (SD)

1210 W 18TH ST, Sioux Falls, SD 57104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Shannon R Peck M.d. 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 ID2668513276

PECOS Enrollment IDI20120920000191, I20130814000701, I20251006003993

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.

Medicare Billing Reassignments

Medicare enrollment records show Shannon Peck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic

Same address

Orthopaedic Surgery

1210 W 18TH ST, STE G01
Sioux Falls, SD 57104

Reassigned Medicare billing, Minnesota and South Dakota enrollments
Also billed through NPI 1457383424 (South Dakota)
103 clinicians in this Medicare group

NPI 1699968057 (605) 328-2663

Colorado Springs Urological Associates LLC

522 mi

Urology

6071 E WOODMEN RD STE 300
Colorado Springs, CO 80923

Reassigned Medicare billing, Colorado enrollment
20 clinicians in this Medicare group

NPI 1649704826 (719) 531-7007

Urologic Surgeons Of Arizona Plc

1,068 mi

Urology

1234 S POWER RD STE 102
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
11 clinicians in this Medicare group

NPI 1780929141 (480) 409-5060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

168 services155 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

52 services51 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

51 services50 patients

Injection of contrast through abdominal cavity tube for x-ray study 49424

This procedure involves injecting a contrast substance through a tube in your abdominal cavity. This helps to highlight certain areas in your body for an X-ray study. It's a crucial step for accurate diagnosis and treatment planning.

46 services22 patients

Review by radiologist of abscess or sinus cavity study 76080

This procedure involves a specialist, known as a radiologist, examining images of your abscess or sinus cavity. These images help identify any problems or changes in your condition. The radiologist's review is crucial in determining the best course of treatment.

46 services22 patients

Review by radiologist of image for replacement of stomach or large bowel tube 75984

This procedure involves a radiologist examining images to assess the placement of a tube in your stomach or large bowel. The tube helps with digestion or removal of waste. The radiologist's review ensures the tube is correctly positioned for your safety and comfort.

42 services11 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

39 services39 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

39 services33 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

31 services31 patients

Replacement of kidney drainage tube using imaging guidance with review by radiologist 50435

This procedure involves replacing an existing kidney drainage tube. Using imaging technology, a radiologist precisely guides the process to ensure accuracy. This helps drain excess fluid from kidneys, improving their function and your comfort.

30 services15 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

29 services24 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

28 services22 patients

Needle biopsy of liver through skin 47000

A needle biopsy of the liver through skin is a procedure where a small tissue sample from your liver is collected using a thin needle. This is done to diagnose liver diseases or conditions. It involves inserting the needle through your skin and into your liver.

22 services21 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

21 services21 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

20 services20 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

18 services18 patients

Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin 32408

A core needle biopsy of the lung or mediastinum is a procedure where a small sample of tissue is collected using a needle inserted through the skin. This helps in diagnosing lung conditions or diseases in the chest's central cavity. It's a safe and minimally invasive process.

17 services17 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

15 services15 patients

Replacement of liver duct drainage tube using imaging guidance with review by radiologist 47536

This procedure involves replacing a liver duct drainage tube, which helps remove bile from your liver. A radiologist uses imaging technology to guide the process, ensuring accurate placement of the new tube. They will also review the results for precision.

15 services12 patients

X-ray of chest, 2 views 71046

13 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

13 services13 patients

Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance 32557

This procedure involves removing fluid from your chest cavity, which is the space around your lungs. A small tube is inserted, under image guidance, to drain the fluid. This tube stays in place to prevent fluid buildup, aiding in your breathing and comfort.

12 services12 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

12 services12 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

12 services11 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161381

Location118 North 7th AvenueSheldon, IA 51201 · Obrien County

Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240022

Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County

Emergency services Birthing friendly

Windom Area Health

Critical Access Hospitals · Windom, MN

OwnershipGovernment - Local

CMS Certification Number241332

Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County

Emergency services

United Hospital District

Critical Access Hospitals · Blue Earth, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241369

Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County

Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

77.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

EUGENIO B MATOS M.D.

Psychiatry & Neurology (Neurology)

1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104

Minnehaha County (605) 312-8500

DR. KHALIL A YOUSEF M.D.

Radiology (Diagnostic Radiology)

1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-1410

JOHN ELMER FORRETTE JR. DPM

Podiatrist

1210 W 18TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-1395

BRETT ALLEN BASTIAN PAC

Physician Assistant

1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8660

DR. THOMAS MATTHEW BOETEL D.O.

Physical Medicine & Rehabilitation (Pain Medicine)

1210 W 18TH ST, SUITE 100
SIOUX FALLS, SD 57104

Minnehaha County (605) 312-8500

DR. CHRISTOPHER JANSSEN

Physical Medicine & Rehabilitation (Pain Medicine)

1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104

Minnehaha County (605) 312-8500

DR. ADAM HAILES NICHOLS D.P.M.

Podiatrist (Foot & Ankle Surgery)

1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-2663

SHAHAD MURAD NP

Nurse Practitioner

1210 W 18TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-2663

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 Peck's NPI number?

The NPI number for Shannon Peck is 1083819650. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Shannon Peck located?

Shannon Peck practices at 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104. The listed phone number is (605) 328-1410.

What is Shannon Peck's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shannon Peck enrolled in Medicare?

Yes. Shannon Peck 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.

Which organizations bill Medicare for Shannon Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Peck reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Colorado Springs Urological Associates LLC (Colorado Springs, CO) and Urologic Surgeons Of Arizona Plc (Mesa, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Peck accept?

Health plans from Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Shannon Peck 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 Shannon Peck affiliated with any hospitals?

According to CMS data, Shannon Peck is affiliated with Sanford Sheldon Medical Center, Sanford Worthington Medical Center, Windom Area Health, United Hospital District and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Peck was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.