DR. MATTHEW BRIAN SHANNON MD
NPI 1417040569
Emergency Medicine in Jacksonville, FL

Q: What is Matthew Shannon's NPI number?

The NPI number for Matthew Shannon is 1417040569. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Matthew Shannon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Shannon was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 02, 2006PECOS Enrolled

78.18/100

CMS Quality Rating

655 W 8TH ST, UFJP EMERGENCY MEDICINE, JACKSONVILLE, FL 32209(904) 244-4107 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Matthew Brian Shannon Md NPPES

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

DR. MATTHEW BRIAN SHANNON MD (NPI 1417040569) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME73606) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417040569

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MATTHEW BRIAN SHANNONCredential: MD

Location Address655 W 8TH ST, UFJP EMERGENCY MEDICINEJacksonville, FL 32209-6511

Mailing AddressPo Box 44008, Ufjp Emergency MedicineJacksonville, FL 32231-4008

Phone(904) 244-4107

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateFebruary 4, 2011

✔ NPI 1417040569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in FL · ME73606

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

655 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 4

Medicaid254799600FL

Medicare UPING13855FL

Medicare PIN42334XFL

Medicare PIN42334UFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Brian Shannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

143 services141 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

78.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.54

Promoting Interoperability

100

Improvement Activities

Cost

54.74

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. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology