MARGARET SHANLEY MD
NPI 1346245909
Family Medicine in North East, PA

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
2060 N PEARL ST, NORTH EAST, PA 16428(814) 877-7711(814) 877-7715 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Margaret Shanley Md NPPES

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

MARGARET SHANLEY MD (NPI 1346245909) is an individual family medicine provider in North East, Pennsylvania, licensed in Pennsylvania (MD060708L) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Connecticut School Of Medicine (1993).

NPPES Registry Identity

NPI1346245909
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGARET SHANLEYCredential: MD
Location Address2060 N PEARL STNorth East, PA 16428-1926
Mailing Address2060 N Pearl StNorth East, PA 16428-1926 · (814) 877-7711 · Fax (814) 877-7715
Fax(814) 877-7715
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1993
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 19, 2014
NPI 1346245909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD060708L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2060 N PEARL ST, North East, PA 16428

Other Identifiers 12

Other0949874PA · Aetna
Other212674Upmc
OtherP000143PA · Gateway
Medicaid0016602110002PA
Medicare PIN003246E7CPA
Other00025197801NY · Univera
Other080106402PA · Rr Medicare
Other01827196NY · Ny Medical Assistance
Medicare UPING62023
Other967503PA · Blue Shield
Other217694PA · Unison
Other2227174OH · Oh Medical Assistance

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

Margaret Shanley Md 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 ID7113967571
PECOS Enrollment IDI20170807001367
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 8

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 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.
305 services191 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
239 services181 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
122 services122 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services52 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
53 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16428 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers19 claims40 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers13 claims14 services$1.08 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims60 services$17.67 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims66 services$1.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$95.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Family Medicine
2060 N PEARL ST
NORTH EAST, PA 16428
Family Medicine
2060 N PEARL ST
NORTH EAST, PA 16428
Family Medicine
2060 N PEARL ST
NORTH EAST, PA 16428
Family Medicine
2060 N PEARL ST
NORTH EAST, PA 16428
Family Medicine
2060 N PEARL ST, SUITE H
NORTH EAST, PA 16428
Nurse Practitioner
2060 N PEARL ST
NORTH EAST, PA 16428
Physician Assistant
2060 N PEARL ST
NORTH EAST, PA 16428
Physician Assistant
2060 N PEARL ST, VINEYARD PRIMARY CARE
NORTH EAST, PA 16428

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 Margaret Shanley's NPI number?

The NPI number for Margaret Shanley is 1346245909. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Margaret Shanley located?

Margaret Shanley practices at 2060 N Pearl St, North East, PA 16428. The listed phone number is (814) 877-7711.

What is Margaret Shanley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Margaret Shanley enrolled in Medicare?

Yes. Margaret Shanley 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 Margaret Shanley accept?

Health plans from Blue Cross and Blue Shield of NC list Margaret Shanley 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 Margaret Shanley affiliated with any hospitals?

According to CMS data, Margaret Shanley is affiliated with Duke University Hospital, Granville Health Systems, Maria Parham Medical Center and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Shanley was last updated on November 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.