DR. SHANNON B RIDER MD
NPI 1508846429
Internal Medicine in Herrin, IL

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
405 RUSHING DR, HERRIN, IL 62948(618) 993-3300(618) 998-1802 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Feb 1, 2021, Sep 21, 2020 (3 updates tracked since 2020).

About Dr. Shannon B Rider Md NPPES

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

DR. SHANNON B RIDER MD (NPI 1508846429) is an individual internal medicine provider in Herrin, Illinois, licensed in Illinois (036105880) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Southern Illinois University School Of Medicine (1999).

NPPES Registry Identity

NPI1508846429
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHANNON B RIDERCredential: MD
Location Address405 RUSHING DRHerrin, IL 62948-3730
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 998-1802
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1999
Enumeration DateJanuary 18, 2006
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1508846429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036105880
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.
405 RUSHING DR, Herrin, IL 62948

Other Identifiers 1

Medicaid036105880IL

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 B Rider 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 ID4981883543
PECOS Enrollment IDI20110127001131
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 3

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.

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.
64 services63 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
25 services25 patients
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272
An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 34

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
17 suppliers153 claims374 services$6.08 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers23 claims23 services$2.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers50 claims81 services$1.10 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$8.92 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers11 claims40 services$4.69 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
3 suppliers22 claims720 services$4.14 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.

Social Worker (Clinical)
405 RUSHING DR
HERRIN, IL 62948
Internal Medicine
405 RUSHING DR
HERRIN, IL 62948
Social Worker (Clinical)
405 RUSHING DR
HERRIN, IL 62948
Nurse Practitioner
405 RUSHING DR
HERRIN, IL 62948
Physician Assistant
405 RUSHING DR
HERRIN, IL 62948
Physician Assistant
405 RUSHING DR
HERRIN, IL 62948
Nurse Practitioner
405 RUSHING DR
HERRIN, IL 62948
Nurse Practitioner
405 RUSHING DR
HERRIN, IL 62948

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 Rider's NPI number?

The NPI number for Shannon Rider is 1508846429. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Shannon Rider located?

Shannon Rider practices at 405 Rushing Dr, Herrin, IL 62948. The listed phone number is (618) 993-3300.

What is Shannon Rider's specialty?

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

Is Shannon Rider enrolled in Medicare?

Yes. Shannon Rider 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.

Is Shannon Rider affiliated with any hospitals?

According to CMS data, Shannon Rider is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center, Franklin Hospital and Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Shannon Rider was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.