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DR. SHANNON VICKERY DMD
NPI 1427162544
Dentist - General Practice in Louisville, KY

Active since August 18, 2006PECOS Enrolled
9706 TAYLORSVILLE RD, LOUISVILLE, KY 40299(502) 267-0546(502) 267-7306 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 22, 2016, Feb 18, 2016, Feb 2, 2016 (3 updates tracked since 2016).

About Dr. Shannon Vickery Dmd NPPES

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

DR. SHANNON VICKERY DMD (NPI 1427162544) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (9092) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427162544
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANNON VICKERYCredential: DMD
Location Address9706 TAYLORSVILLE RDLouisville, KY 40299-2753
Mailing Address9706 Taylorsville RdLouisville, KY 40299-2753 · (502) 438-5387
Phone(502) 267-0546
Fax(502) 267-7306
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 22, 20163 updates tracked since enumeration
✔ NPI 1427162544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in KY · 9092✔ Licensed in AL · 5165
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 5165 (AL)
9706 TAYLORSVILLE RD, Louisville, KY 40299
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Shannon Vickery Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40299 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 3

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

DR. D. ED SCHARFENBERGER JR. DMD
Dentist (General Practice)
9706 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (502) 267-0546
NICHOLAS SCHARFENBERGER DMD
Dentist (General Practice)
9706 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (502) 267-0546
SCHARFENBERGER FAMILY DENTISTRY, PSC
Dentist (General Practice)
9706 TAYLORSVILLE RD
LOUISVILLE, KY 40299
Jefferson County (502) 267-0546

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 Vickery's NPI number?

The NPI number for Shannon Vickery is 1427162544. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Shannon Vickery located?

Shannon Vickery practices at 9706 Taylorsville Rd, Louisville, KY 40299. The listed phone number is (502) 267-0546.

What is Shannon Vickery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shannon Vickery enrolled in Medicare?

Yes. Shannon Vickery is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Vickery accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Shannon Vickery 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.

When was this NPI record last updated?

The NPPES record for Shannon Vickery was last updated on March 22, 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.