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SHANNON HORVATH NP C
NPI 1265820658
Internal Medicine - Gastroenterology in Cincinnati, OH

Active since January 07, 2015PECOS EnrolledAccepts Medicare Assignment
7661 BEECHMONT AVE STE 120, CINCINNATI, OH 45255(513) 231-9010(513) 231-9706 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Horvath Np C NPPES

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

SHANNON HORVATH NP C (NPI 1265820658) is an individual gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (16829-NP) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265820658
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSHANNON HORVATHCredential: NP C
Location Address7661 BEECHMONT AVE STE 120Cincinnati, OH 45255-4234
Mailing Address3648 Werk RdCincinnati, OH 45248-4900 · (513) 233-4100 · Fax (513) 451-9412
Phone(513) 231-9010
Fax(513) 231-9706
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 7, 2015
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1265820658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 16829-NP
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
7661 BEECHMONT AVE STE 120, Cincinnati, OH 45255
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Shannon Horvath Np C 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 ID6406172832
PECOS Enrollment IDI20150303000516
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 Reassignment

Medicare enrollment records show Shannon Horvath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Cincinnati Digestive Health Network
8.8 mi
Gastroenterology
4805 MONTGOMERY RD STE 160
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1720093586 (513) 721-5300

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 3

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.
268 services235 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.
100 services100 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.
98 services92 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45255 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

EMILY CAMPBELL SIZER PHYSICIAN ASSISTANT
Physician Assistant
7661 BEECHMONT AVE STE 120
CINCINNATI, OH 45255
Hamilton County (513) 231-9010
STEPHEN L IONNA M.D.
Internal Medicine (Gastroenterology)
7661 BEECHMONT AVE STE 120
CINCINNATI, OH 45255
Hamilton County (513) 231-9010
SAID IBRAHIM NABHAN MD
Internal Medicine (Gastroenterology)
7661 BEECHMONT AVE STE 120
CINCINNATI, OH 45255
Hamilton County (513) 231-9010
HANNA CHRISTINE KREMER CNP
Nurse Practitioner
7661 BEECHMONT AVE STE 120
CINCINNATI, OH 45255
Hamilton County (513) 231-9010
MARVIN J LOPEZ M.D.
Internal Medicine (Gastroenterology)
7661 BEECHMONT AVE STE 120
CINCINNATI, OH 45255
Hamilton County (513) 231-9010
GREGORY MATHIAS LAM D.O.
Internal Medicine (Gastroenterology)
7661 BEECHMONT AVE STE 120
CINCINNATI, OH 45255
Hamilton County (513) 231-9010

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 Horvath's NPI number?

The NPI number for Shannon Horvath is 1265820658. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Shannon Horvath located?

Shannon Horvath practices at 7661 Beechmont Ave Ste 120, Cincinnati, OH 45255. The listed phone number is (513) 231-9010.

What is Shannon Horvath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shannon Horvath enrolled in Medicare?

Yes. Shannon Horvath 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 organization bills Medicare for Shannon Horvath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Horvath reassigns Medicare benefits to Greater Cincinnati Digestive Health Network (Cincinnati, OH). The 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 Horvath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Horvath accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Shannon Horvath 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 Horvath affiliated with any hospitals?

According to CMS data, Shannon Horvath is affiliated with Mercy Health-Anderson Hospital, Good Samaritan Hospital, Christ Hospital, Bethesda North and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Horvath was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.