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DR. SHAWN MICHAEL POOLE MD
NPI 1497315873
Surgery - Vascular Surgery in Springfield, IL

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
701 N 1ST ST # D346, SPRINGFIELD, IL 62702(217) 545-8444(217) 545-2563 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Jun 18, 2019 (2 updates tracked since 2019).

About Dr. Shawn Michael Poole Md NPPES

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

DR. SHAWN MICHAEL POOLE MD (NPI 1497315873) is an individual vascular surgery provider in Springfield, Illinois, licensed in Illinois (125.074978) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1497315873
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. SHAWN MICHAEL POOLECredential: MD
Location Address701 N 1ST ST # D346Springfield, IL 62702-3757
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-8856 · Fax (217) 545-2563
Phone(217) 545-8444
Fax(217) 545-2563
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 18, 2019
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1497315873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in IL · 125.074978✔ Licensed in GA · 101054
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
701 N 1ST ST # D346, Springfield, IL 62702
Open in Google Maps ↗

Secondary Practice Location 1

Location 1980 Johnson Ferry Rd Ste 1040Atlanta, GA 30342-1609 · Phone (770) 292-3490 · Fax (404) 300-2317

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Shawn Michael Poole Md 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 ID5395079974
PECOS Enrollment IDI20241108002154
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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
13 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 5

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

DR. FILLIP KOMORNIK MD
Surgery (Vascular Surgery)
701 N 1ST ST # D346
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8444
GARRETT BLANE SWEATT
Surgery (Vascular Surgery)
701 N 1ST ST # D346
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8444
DR. SYED MUHAMMAD RAZA ZAIDI
Surgery (Vascular Surgery)
701 N 1ST ST # D346
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8856
DR. SCOT STANULIS
Surgery (Vascular Surgery)
701 N 1ST ST # D346
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8856
NADIN SAMY SEDIK ELSAYED MBBCHB
Surgery (Vascular Surgery)
701 N 1ST ST # D346
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8444

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 Shawn Poole's NPI number?

The NPI number for Shawn Poole is 1497315873. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Shawn Poole located?

Shawn Poole practices at 701 N 1st St # D346, Springfield, IL 62702. The listed phone number is (217) 545-8444.

What is Shawn Poole's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Shawn Poole enrolled in Medicare?

Yes. Shawn Poole 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 Shawn Poole accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shawn Poole 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 Shawn Poole affiliated with any hospitals?

According to CMS data, Shawn Poole is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Poole was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.