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SHANNON MAHER M.D.
NPI 1720384308
Emergency Medicine - Emergency Medical Services in Middletown, CT

Active since January 31, 2011PECOS EnrolledAccepts Medicare Assignment
1250 SILVER ST, MIDDLETOWN, CT 06457(860) 852-1064 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Maher M.d. NPPES

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

SHANNON MAHER M.D. (NPI 1720384308) is an individual emergency medical services provider in Middletown, Connecticut, licensed in Connecticut (052473) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2008).

NPPES Registry Identity

NPI1720384308
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameSHANNON MAHERCredential: M.D.
Location Address1250 SILVER STMiddletown, CT 06457-3946
Mailing Address1250 Silver StMiddletown, CT 06457-3946
Phone(860) 852-1064
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2008
Enumeration DateJanuary 31, 2011
Last NPPES UpdateNovember 16, 2022
NPPES CertifiedNovember 10, 2021
✔ NPI 1720384308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in CT · 052473
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1250 SILVER ST, Middletown, CT 06457
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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 Maher 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 ID1355528571
PECOS Enrollment IDI20140117000307
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 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

MS. JAMIE LYNN BIRCHALL AS DARC
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MRS. NICOLE MARIE ALEXOPOULOS MSAP
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 972-1106
MS. LISA LYNN CAREY MFT
Counselor (Addiction (Substance Use Disorder))
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MONIQUE T MILEY APRN
Nurse Practitioner (Psychiatric/Mental Health)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
DR. TRICIA A. MACHINSKI M.D.
Student in an Organized Health Care Education/Training Program
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
ERIN R ALEX LCSW
Social Worker (Clinical)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
RUSHFORD
Substance Abuse Rehabilitation Facility
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-0300
MS. SUSAN ALESSI DESOUSA BS MSW
Social Worker (Clinical)
1250 SILVER ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (086) 346-0300

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 Maher's NPI number?

The NPI number for Shannon Maher is 1720384308. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Where is Shannon Maher located?

Shannon Maher practices at 1250 Silver St, Middletown, CT 06457. The listed phone number is (860) 852-1064.

What is Shannon Maher's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Shannon Maher enrolled in Medicare?

Yes. Shannon Maher 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.

When was this NPI record last updated?

The NPPES record for Shannon Maher was last updated on November 16, 2022. 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.