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GREGORY D SHANNON PA
NPI 1225049984
Physician Assistant in Rancho Mirage, CA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
84.3/100
CMS Quality Rating
72780 COUNTRY CLUB DR, BLDG B 203, RANCHO MIRAGE, CA 92270(760) 674-3847(760) 674-3845 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 1, 2016 (2 updates tracked since 2016).

About Gregory D Shannon Pa NPPES

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

GREGORY D SHANNON PA (NPI 1225049984) is an individual physician assistant in Rancho Mirage, California, licensed in California (PA13960) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1225049984
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY D SHANNONCredential: PA
Location Address72780 COUNTRY CLUB DR, BLDG B 203Rancho Mirage, CA 92270-4126
Mailing Address72780 Country Club Dr, Bldg B 203Rancho Mirage, CA 92270-4126 · (760) 674-3847
Phone(760) 674-3847
Fax(760) 674-3845
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 10, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1225049984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA13960
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
72780 COUNTRY CLUB DR, Rancho Mirage, CA 92270
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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

Gregory D Shannon Pa 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 ID446376610
PECOS Enrollment IDI20100924000454
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
760 services692 patients
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.
117 services115 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services16 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

84.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.95
Promoting Interoperability100
Improvement Activities40
Cost58.71

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. CARLOS A LOPEZ M.D.,M.P.H.
Internal Medicine
72780 COUNTRY CLUB DR, SUITE 100
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-9750
LORA MURPHY
Physical Therapy Assistant
72780 COUNTRY CLUB DR, #C-300
RANCHO MIRAGE, CA 92270
Riverside County (760) 636-5207
LYNNE MARGARET MESSNER M.D.
Internal Medicine
72780 COUNTRY CLUB DR, SUITE 100
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-9750
ELHAM KHEIRKHAHI DDS MSD INC
Dentist
72780 COUNTRY CLUB DR, SUITE # 402
RANCHO MIRAGE, CA 92270
Riverside County (760) 836-1809
SUNNYLINE VENDIOLA M.D.
Family Medicine
72780 COUNTRY CLUB DR, BLDG B 205-B
RANCHO MIRAGE, CA 92270
Riverside County (760) 834-7900
JACOME MEDICAL GROUP
Specialist
72780 COUNTRY CLUB DR, SUITE D403
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-2616
MICHAEL E. VOSKANIAN P.A.-C.
Physician Assistant
72780 COUNTRY CLUB DR, BLDG B 203
RANCHO MIRAGE, CA 92270
Riverside County (760) 674-3847
DR. JOHN WILSON SAMPLES MD
Internal Medicine
72780 COUNTRY CLUB DR, BLDG B 205-B
RANCHO MIRAGE, CA 92270
Riverside County (760) 834-7900

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 Gregory Shannon's NPI number?

The NPI number for Gregory Shannon is 1225049984. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Gregory Shannon located?

Gregory Shannon practices at 72780 Country Club Dr Bldg B 203, Rancho Mirage, CA 92270. The listed phone number is (760) 674-3847.

What is Gregory Shannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gregory Shannon enrolled in Medicare?

Yes. Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Shannon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.