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DR. PATRICK SHANNON D.M.D.
NPI 1184937682
Dentist - Periodontics in Cambridge, MA

Active since July 26, 2010PECOS Enrolled
1692 MASSACHUSETTS AVE, CAMBRIDGE, MA 02138(617) 864-5444 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Patrick Shannon D.m.d. NPPES

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

DR. PATRICK SHANNON D.M.D. (NPI 1184937682) is an individual periodontics provider in Cambridge, Massachusetts, licensed in Massachusetts (DN1855517) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184937682
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PATRICK SHANNONCredential: D.M.D.
Location Address1692 MASSACHUSETTS AVECambridge, MA 02138-1878
Mailing Address1692 Massachusetts AveCambridge, MA 02138-1878
Phone(617) 864-5444
Sole ProprietorNo
Enumeration DateJuly 26, 2010
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1184937682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · DN1855517
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1692 MASSACHUSETTS AVE, Cambridge, MA 02138
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Shannon D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 6

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

CAMBRIDGE ENDODONTIC ASSOCIATES, PC
Dentist (Endodontics)
1692 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3616
DR. HOWARD A. LEVINE D.M.D.,P.C.
Dentist (Endodontics)
1692 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3616
HOWARD A. LEVINE, DMD, PC
Dentist (Endodontics)
1692 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3616
DR. MICHAEL JOSEPH DMD
Dentist (Endodontics)
1692 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3616
DR. MARK CHARLES DERKAZARIAN D.M.D.
Dentist (Periodontics)
1692 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 864-5444
DR. STEVE ELBAZ DMD
Dentist (Endodontics)
1692 MASSACHUSETTS AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3616

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 Patrick Shannon's NPI number?

The NPI number for Patrick Shannon is 1184937682. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Patrick Shannon located?

Patrick Shannon practices at 1692 Massachusetts Ave, Cambridge, MA 02138. The listed phone number is (617) 864-5444.

What is Patrick Shannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Patrick Shannon enrolled in Medicare?

Yes. Patrick Shannon is registered in the Medicare PECOS enrollment system.

What insurance does Patrick Shannon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Patrick 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.

When was this NPI record last updated?

The NPPES record for Patrick Shannon was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.