DR. SHANNON ALTAZAN DO
NPI 1477057883
Emergency Medicine in Marietta, OH

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
401 MATTHEW ST, MARIETTA, OH 45750(740) 376-1939(740) 374-1693 Get Directions Write a Review

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

Record update history: Dec 1, 2025, Jun 24, 2025, Mar 25, 2025 and 5 more (8 updates tracked since 2018).

About Dr. Shannon Altazan Do NPPES

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

DR. SHANNON ALTAZAN DO (NPI 1477057883) is an individual emergency medicine provider in Marietta, Ohio, licensed in Ohio (34.015793) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1477057883
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHANNON ALTAZANCredential: DO
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing Address1467 Tornes RdLowell, OH 45744-7187 · (225) 802-2197
Fax(740) 374-1693
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateFebruary 19, 20268 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1477057883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OH · 34.015793 Licensed in WV · 3742
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 34.015793 (OH)
401 MATTHEW ST, Marietta, OH 45750

Secondary Practice Locations 6

Location 1800 Wheeling AveGlen Dale, WV 26038-1660 · Phone (304) 843-3313
Location 21106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 568-2000 · Fax (740) 568-2096
Location 31006 Washington Blvd Ste GBelpre, OH 45714-4005 · Phone (740) 423-3240 · Fax (740) 401-0440
Location 4799 Farson StBelpre, OH 45714-1082 · Phone (740) 401-1157 · Fax (740) 401-1155
Location 5206 Columbus RdAthens, OH 45701-1316 · Phone (740) 885-4064 · Fax (740) 885-4027
Location 6224 Pike STMarietta, OH 45750-3319 · Phone (740) 373-3960 · Fax (740) 373-3965

Other Identifiers 1

Medicaid0485813OH

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

Dr. Shannon Altazan Do 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 ID345288734
PECOS Enrollment IDI20220616000634
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 5

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.
304 services283 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.
112 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
54 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750

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 Altazan's NPI number?

The NPI number for Shannon Altazan is 1477057883. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Shannon Altazan located?

Shannon Altazan practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 376-1939.

What is Shannon Altazan's specialty?

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

Is Shannon Altazan enrolled in Medicare?

Yes. Shannon Altazan 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 Shannon Altazan accept?

Health plans from CareSource list Shannon Altazan 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 Shannon Altazan affiliated with any hospitals?

According to CMS data, Shannon Altazan is affiliated with Marietta Memorial Hospital, Selby General Hospital and Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shannon Altazan was last updated on February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.