SHANNON KYLE KANEASTER M.D.
NPI 1275672529
Otolaryngology in Oklahoma City, OK

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
42.3/100
CMS Quality Rating
5701 N PORTLAND AVE, SUITE 305, OKLAHOMA CITY, OK 73112(405) 604-4475(405) 604-4480 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Kyle Kaneaster M.d. NPPES

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

SHANNON KYLE KANEASTER M.D. (NPI 1275672529) is an individual otolaryngology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (22929) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Tulane University School Of Medicine (2002).

NPPES Registry Identity

NPI1275672529
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSHANNON KYLE KANEASTERCredential: M.D.
Location Address5701 N PORTLAND AVE, SUITE 305Oklahoma City, OK 73112-1678
Mailing Address3033 Nw 63rd St, Suite 152Oklahoma City, OK 73116-3634 · (405) 755-6651 · Fax (405) 607-3559
Fax(405) 604-4480
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2002
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJune 1, 2016
NPI 1275672529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OK · 22929
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5701 N PORTLAND AVE, Oklahoma City, OK 73112

Other Identifiers 2

Medicaid200172670AOK
Medicare PINOK401456OK

Accepted Insurance

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

Shannon Kyle Kaneaster 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 ID345300513
PECOS Enrollment IDI20081118000171
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 13

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
320 services12 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.
227 services146 patients
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.
183 services125 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
122 services75 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.
93 services93 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
70 services69 patients

Hospital Affiliations CMS Care Compare

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

42.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%2,643 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%1,597 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Dental)
5701 N PORTLAND AVE, SUITE 121
OKLAHOMA CITY, OK 73112
Surgery
5701 N PORTLAND AVE, SUITE 120
OKLAHOMA CITY, OK 73112
Ophthalmology
5701 N PORTLAND AVE, SUITE 105
OKLAHOMA CITY, OK 73112
Internal Medicine
5701 N PORTLAND AVE, SUITE 325
OKLAHOMA CITY, OK 73112
Internal Medicine (Gastroenterology)
5701 N PORTLAND AVE, SUITE 305
OKLAHOMA CITY, OK 73112
Obstetrics & Gynecology
5701 N PORTLAND AVE, SUITE 320
OKLAHOMA CITY, OK 73112
Specialist
5701 N PORTLAND AVE, SUITE 225
OKLAHOMA CITY, OK 73112
Pharmacy (Clinic Pharmacy)
5701 N PORTLAND AVE
OKLAHOMA CITY, OK 73112

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 Kaneaster's NPI number?

The NPI number for Shannon Kaneaster is 1275672529. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Shannon Kaneaster located?

Shannon Kaneaster practices at 5701 N Portland Ave Suite 305, Oklahoma City, OK 73112. The listed phone number is (405) 604-4475.

What is Shannon Kaneaster's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Shannon Kaneaster enrolled in Medicare?

Yes. Shannon Kaneaster 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.

What insurance does Shannon Kaneaster accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Shannon Kaneaster 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 Kaneaster affiliated with any hospitals?

According to CMS data, Shannon Kaneaster is affiliated with Integris Baptist Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shannon Kaneaster was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.