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DR. MICHAEL TIMOTHY SHANNON D.M.D.
NPI 1649378449
Dentist - Oral and Maxillofacial Surgery in North Andover, MA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
203 TURNPIKE STREET, SUITE G-2, NORTH ANDOVER, MA 01845(978) 682-5255(978) 682-0656 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael Timothy Shannon D.m.d. NPPES

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

DR. MICHAEL TIMOTHY SHANNON D.M.D. (NPI 1649378449) is an individual oral and maxillofacial surgery provider in North Andover, Massachusetts, licensed in Massachusetts (17705) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1649378449
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL TIMOTHY SHANNONCredential: D.M.D.
Location Address203 TURNPIKE STREET, SUITE G-2North Andover, MA 01845
Mailing Address203 Turnpike Street, Suite G-2North Andover, MA 01845 · (978) 682-5255 · Fax (978) 682-0656
Phone(978) 682-5255
Fax(978) 682-0656
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649378449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · 17705
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
203 TURNPIKE STREET, North Andover, MA 01845
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedX06295SHMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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. Michael Timothy Shannon D.m.d. 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 ID1850482050
PECOS Enrollment IDI20070802000051
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

MICHEL LIRETTE MD
Obstetrics & Gynecology
203 TURNPIKE STREET, SUITE 115
N ANDOVER, MA 01845
Essex County (978) 681-4505

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 Michael Shannon's NPI number?

The NPI number for Michael Shannon is 1649378449. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Michael Shannon located?

Michael Shannon practices at 203 Turnpike Street Suite G-2, North Andover, MA 01845. The listed phone number is (978) 682-5255.

What is Michael Shannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Shannon enrolled in Medicare?

Yes. Michael Shannon 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 Michael Shannon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michael Shannon 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.

When was this NPI record last updated?

The NPPES record for Michael Shannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.