SHANNON MARIE MEREDITH DPM
NPI 1407897614
Podiatrist in Portland, ME

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
195 FORE RIVER PKWY, SUITE 210, PORTLAND, ME 04102(207) 553-6682(207) 553-6681 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Marie Meredith Dpm NPPES

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

SHANNON MARIE MEREDITH DPM (NPI 1407897614) is an individual podiatrist in Portland, Maine, licensed in Maine (1000) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Charles A Dean Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1407897614
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameSHANNON MARIE MEREDITHCredential: DPM
Location Address195 FORE RIVER PKWY, SUITE 210Portland, ME 04102-2780
Mailing Address144 State StPortland, ME 04101-3776 · (207) 879-3000
Fax(207) 553-6681
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 18, 2008
NPI 1407897614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in ME · 1000
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

195 FORE RIVER PKWY, Portland, ME 04102

Other Identifiers 12

Other100429800Dept Of Labor
Medicaid127440000ME
Other480016606ME · Railroad Medicare
Medicare NSC1069320001ME
Medicare PINMM5552ME
Other001299ME · Martins Point
Other14284Federal Blue Shield
Other014284ME · Anthem Blue Cross
OtherU47765ME · Harvard Pilgrim
Medicare UPINU47765
Other104104ME · Aetna
Medicare PINMM555201ME

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 Marie Meredith Dpm 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 ID2466493887
PECOS Enrollment IDI20050517000053
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.

Hospital Affiliations CMS Care Compare 2

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

Charles A Dean Memorial Hospital

Critical Access Hospitals · Greenville, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201301
LocationPO Box 1129Greenville, ME 04441 · Piscataquis County

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.11
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers21 claims40 services$56.94 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
2 suppliers23 claims129 services$37.33 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 20

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

Family Medicine
195 FORE RIVER PKWY, SUITE 160
PORTLAND, ME 04102
Surgery
195 FORE RIVER PKWY, SUITE 250
PORTLAND, ME 04102
Specialist
195 FORE RIVER PKWY, SUITE 410
PORTLAND, ME 04102
Nurse Practitioner (Obstetrics & Gynecology)
195 FORE RIVER PKWY, SUITE 440
PORTLAND, ME 04102
Surgery
195 FORE RIVER PKWY, SUITE 420
PORTLAND, ME 04102
Surgery
195 FORE RIVER PKWY, SUITE 250
PORTLAND, ME 04102
Obstetrics & Gynecology
195 FORE RIVER PKWY, SUITE 440
PORTLAND, ME 04102
Surgery (Surgical Oncology)
195 FORE RIVER PKWY, SUITE 420
PORTLAND, ME 04102

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 Meredith's NPI number?

The NPI number for Shannon Meredith is 1407897614. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Shannon Meredith located?

Shannon Meredith practices at 195 Fore River Pkwy Suite 210, Portland, ME 04102. The listed phone number is (207) 553-6682.

What is Shannon Meredith's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Shannon Meredith enrolled in Medicare?

Yes. Shannon Meredith 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.

Is Shannon Meredith affiliated with any hospitals?

According to CMS data, Shannon Meredith is affiliated with Charles A Dean Memorial Hospital and Northern Light Mayo Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Meredith was last updated on August 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.