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DR. SHANNON MAURICE NEARY D.M.D.
NPI 1205980984
Dentist - Endodontics in Broomall, PA

Active since January 22, 2007Opted out of Medicare · through Aug 24, 2026
1991 SPROUL RD, SUITE 700, BROOMALL, PA 19008(610) 325-1690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shannon Maurice Neary D.m.d. NPPES

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

DR. SHANNON MAURICE NEARY D.M.D. (NPI 1205980984) is an individual endodontics provider in Broomall, Pennsylvania, licensed in Pennsylvania (DS030145L) and active in the NPI registry since January 2007. She has opted out of Medicare through August 24, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205980984
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. SHANNON MAURICE NEARYCredential: D.M.D.
Location Address1991 SPROUL RD, SUITE 700Broomall, PA 19008-3512
Mailing Address1991 Sproul Rd, Suite 700Broomall, PA 19008-3512 · (610) 325-1690
Phone(610) 325-1690
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205980984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in PA · DS030145L
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1991 SPROUL RD, Broomall, PA 19008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shannon Maurice Neary D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 24, 2018 through August 24, 2026.

Opt-Out Effective DateAugust 24, 2018
Opt-Out In Effect ThroughAugust 24, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19008 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

DR. SHARON F RUDO MD
Obstetrics & Gynecology
1991 SPROUL RD, SUITE 200
BROOMALL, PA 19008
Delaware County (610) 325-1350
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy
1991 SPROUL RD
BROOMALL, PA 19008
Delaware County (610) 325-8422
DR. STEVEN STEIN D.D.S.
Dentist (Endodontics)
1991 SPROUL RD, SUITE 700
BROOMALL, PA 19008
Delaware County (610) 325-1690
MICHELE BRAMLEY CRNP
Nurse Practitioner (Family)
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
DR. SEAN PATRICK GNECCO M.D.
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
PHILLIP A DOBSON MD
Family Medicine
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390
DR. NAGHMA RAIS KHAN M.D.
Family Medicine
1991 SPROUL RD, SUITE 625
BROOMALL, PA 19008
Delaware County (484) 421-1669
JEFFREY BOMZE MD
Pediatrics
1991 SPROUL RD, SUITE 300
BROOMALL, PA 19008
Delaware County (610) 325-1390

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 Neary's NPI number?

The NPI number for Shannon Neary is 1205980984. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Shannon Neary located?

Shannon Neary practices at 1991 Sproul Rd Suite 700, Broomall, PA 19008. The listed phone number is (610) 325-1690.

What is Shannon Neary's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Shannon Neary enrolled in Medicare?

No. Shannon Neary has opted out of Medicare through August 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Shannon Neary accept?

Health plans from Humana list Shannon Neary 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 Shannon Neary was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.