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DR. SHANNON M THYNE MD
NPI 1649382714
Pediatrics in San Francisco, CA

Active since August 31, 2006PECOS Enrolled
1001 POTRERO AVE, MAIL STOP 6E, SAN FRANCISCO, CA 94110(415) 206-8361(415) 206-3686 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shannon M Thyne Md NPPES

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

DR. SHANNON M THYNE MD (NPI 1649382714) is an individual pediatrics provider in San Francisco, California, licensed in California (A62123) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649382714
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHANNON M THYNECredential: MD
Location Address1001 POTRERO AVE, MAIL STOP 6ESan Francisco, CA 94110-3518
Mailing Address1001 Potrero Ave, Mail Stop 6eSan Francisco, CA 94110-3518 · (415) 206-8361 · Fax (415) 206-3686
Phone(415) 206-8361
Fax(415) 206-3686
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 27, 2011
✔ NPI 1649382714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A62123
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1001 POTRERO AVE, San Francisco, CA 94110
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Other Identifiers 3

Medicare ID-Type Unspecified00A621230CA
Medicaid00A621230CA
Medicare UPING96910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon M Thyne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Thyne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller
319 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94110 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

ROCIO C AGRAZ-LARA RN, PHN
Registered Nurse
1001 POTRERO AVE, ZSFG BUILDING 90 4TH FLOOR
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-8524
DR. SUSAN WLODARCZYK MD
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE, BLDG 10, 3RD FLOOR, WARD 13 BOX 1364
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5164
AMY DINER PSY.D.
Student in an Organized Health Care Education/Training Program
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5270
CHRISTOPHER RUIZ
Case Manager/Care Coordinator
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-3950
C. STIRLING SOMERS
Counselor
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-5270
WILLIAM RUSSEL CARPENTER FNP-C
Nurse Practitioner (Family)
1001 POTRERO AVE
SAN FRANCISCO, CA 94110
San Francisco County (628) 206-8000
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Clinical Medical Laboratory
1001 POTRERO AVE, BLDG 100, RM 104
SAN FRANCISCO, CA 94110
San Francisco County (415) 502-4775
DR. DENISE RENEE GONZALEZ MD
Internal Medicine
1001 POTRERO AVE, 1M
SAN FRANCISCO, CA 94110
San Francisco County (415) 206-6075

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 Thyne's NPI number?

The NPI number for Shannon Thyne is 1649382714. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Shannon Thyne located?

Shannon Thyne practices at 1001 Potrero Ave Mail Stop 6E, San Francisco, CA 94110. The listed phone number is (415) 206-8361.

What is Shannon Thyne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Thyne enrolled in Medicare?

Yes. Shannon Thyne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Thyne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Thyne reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Thyne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Thyne was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.