SHANNON MCKERNAN SUTHERLAND MD
NPI 1508277575
Obstetrics & Gynecology in Glastonbury, CT

Q: What is Shannon Sutherland's NPI number?

The NPI number for Shannon Sutherland is 1508277575. It was assigned to this individual provider in the NPPES registry on May 13, 2014. The provider is also known as Shannon Mary Mckernan.

Q: What is Shannon Sutherland's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment

89.86/100

CMS Quality Rating

330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033(860) 547-0306(860) 525-9782 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Mckernan Sutherland Md NPPES

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

SHANNON MCKERNAN SUTHERLAND MD (NPI 1508277575) is an individual obstetrics & gynecology provider in Glastonbury, Connecticut, licensed in Connecticut (61130) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2014).

NPPES Registry Identity

NPI1508277575

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHANNON MCKERNAN SUTHERLANDCredential: MD

Location Address330 WESTERN BLVD STE 102Glastonbury, CT 06033

Mailing Address330 Western Blvd Ste 102Glastonbury, CT 06033-4383 · (860) 547-0306 · Fax (860) 525-9782

Phone(860) 547-0306

Fax(860) 525-9782

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2014

Enumeration DateMay 13, 2014

Last NPPES UpdateJune 7, 2018

✔ NPI 1508277575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CT · 61130

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

330 WESTERN BLVD STE 102, Glastonbury, CT 06033

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Other Names 1

Former Name (1)Shannon Mary Mckernan

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

Shannon Mckernan Sutherland 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 ID4587984612

PECOS Enrollment IDI20180717001160

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.

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.

40 services29 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

31 services31 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

16 services16 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

12 services12 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

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.

89.86/100

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

Scored as part of a group practice

Quality

93.17

Promoting Interoperability

100

Improvement Activities

Cost

73.04

Reported Quality Measures

Breast Cancer Screening

96%377 patients5/55-star benchmark: 93%

Cervical Cancer Screening

98%870 patients5/55-star benchmark: 98%

Controlling High Blood Pressure

82%56 patients4/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

40%1,078 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

84%1,050 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

57%1,248 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 43% · 986 patients

42%986 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

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