DR. SHANNON POUPALOS M.D.
NPI 1427317957
Internal Medicine in Williamsville, NY

Active since May 03, 2012PECOS Enrolled
325 ESSJAY RD, WILLIAMSVILLE, NY 14221(716) 630-1480(716) 582-2301 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2021, Jan 9, 2020, Sep 29, 2015 (3 updates tracked since 2015).

About Dr. Shannon Poupalos M.d. NPPES

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

DR. SHANNON POUPALOS M.D. (NPI 1427317957) is an individual internal medicine provider in Williamsville, New York, licensed in New York (276819) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427317957
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHANNON POUPALOSCredential: M.D.
Location Address325 ESSJAY RDWilliamsville, NY 14221-8243
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219 · Fax (716) 817-1726
Fax(716) 582-2301
Sole ProprietorNo
Enumeration DateMay 3, 2012
Last NPPES UpdateDecember 7, 20213 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1427317957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 276819
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
325 ESSJAY RD, Williamsville, NY 14221

Other Names 1

Former Name (1)Dr. Shannon O'brien M.d.

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 Poupalos M.d. 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 17

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
80 services70 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.
72 services55 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.
67 services67 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
61 services57 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
59 services56 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
55 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 2

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
6 suppliers11 claims33 services$6.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims57 services$1.98 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.

Internal Medicine
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Physical Therapist
325 ESSJAY RD, SUITE 305
WILLIAMSVILLE, NY 14221
Dermatology
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Family Medicine (Adult Medicine)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Physician Assistant (Medical)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Internal Medicine (Nephrology)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Physician Assistant
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Family)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221

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 Poupalos's NPI number?

The NPI number for Shannon Poupalos is 1427317957. It was assigned to this individual provider in the NPPES registry on May 3, 2012. The provider is also known as Dr. Shannon O'brien M.D..

Where is Shannon Poupalos located?

Shannon Poupalos practices at 325 Essjay Rd, Williamsville, NY 14221. The listed phone number is (716) 630-1480.

What is Shannon Poupalos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shannon Poupalos enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Poupalos was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.