SHANNON TEW M.D.
NPI 1679717375
Anesthesiology - Pediatric Anesthesiology in Salt Lake City, UT

Q: What is Shannon Tew's NPI number?

The NPI number for Shannon Tew is 1679717375. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Q: What is Shannon Tew's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Tew was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2009PECOS EnrolledAccepts Medicare Assignment

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-3578(801) 662-3583 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Tew M.d. NPPES

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

SHANNON TEW M.D. (NPI 1679717375) is an individual pediatric anesthesiology provider in Salt Lake City, Utah, licensed in Utah (13157195-1205) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of Medical College Of Wisconsin (2009).

NPPES Registry Identity

NPI1679717375

Entity TypeIndividualFemale

Primary Taxonomy207LP3000X

Provider Legal NameSHANNON TEWCredential: M.D.

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-3578 · Fax (801) 662-3583

Phone(801) 662-3578

Fax(801) 662-3583

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2009

Enumeration DateApril 24, 2009

Last NPPES UpdateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1679717375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

Licenses✔ Licensed in UT · 13157195-1205✔ Licensed in AZ · 50549

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 2013-01302 (NC)

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Secondary Practice Location 1

Location 12301 Erwin RoadDurham, NC 27710 · Phone (919) 681-4877

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 Tew 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 ID9537384342

PECOS Enrollment IDI20260218002342

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 84113 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

4%119 patients1/55-star benchmark: 100%

Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)

Percentage of patients, regardless of age, who undergo a procedure under anesthesia and are admitted to an Intensive Care Unit (ICU) directly from the anesthetizing location, who have a documented use of a checklist or protocol for the transfer of care from…

7%27 patients

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

55%630 patients2/55-star benchmark: 100%

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 20

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

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