SHANNON DONOVAN KAUFMAN
NPI 1811411036
Physician Assistant in Pittsburgh, PA
NPI Status: Active since July 30, 2017
Contact Information
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
Phone: (412) 572-6194
- Individual
- Female
- Years of Experience 9
- Physician Assistant
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SHANNON KAUFMAN
This page provides the complete NPI Profile along with additional information for Shannon Kaufman, a primary care provider established in Pittsburgh, Pennsylvania with a medical specialization in Physician Assistant and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1811411036 assigned on July 2017. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1811411036
- Provider Name
- SHANNON DONOVAN KAUFMAN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1145 BOWER HILL RD STE 105 PITTSBURGH, PA 15243
- Location Phone
- (412) 572-6194
- Mailing Address
- 1000 BOWER HILL RD ATTN ST. CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN PITTSBURGH, PA 15243
- Mailing Phone
- (412) 924-2548
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-30-2017
- Last Update Date
- 03-04-2021
- Code Navigator
A primary care provider (PCP) like Shannon Kaufman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
Shannon Kaufman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Shannon Kaufman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5395001606
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20171102000116
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complex measurement of pressure of urine flow in bladder with voiding pressure studies
Electronic assessment of bladder emptying
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Initial hospital inpatient care per day, typically 30 minutes
Insertion of device into abdomen with pressure and urine flow rate study
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
Surgical removal of prostate and surrounding lymph nodes using an endoscope
Ultrasound measurement of bladder capacity after voiding
Urinalysis, manual test
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
This service was performed 12 times for 12 patientsElectronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
This service was performed 13 times for 13 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 39 times for 39 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 167 times for 166 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 28 times for 20 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 11 times for 11 patientsThis procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.
This service was performed 13 times for 13 patientsThis procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
This service was performed 13 times for 13 patientsThis is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.
This service was performed 15 times for 15 patientsUltrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
This service was performed 41 times for 40 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 227 times for 222 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.22 for a new patient copayment and $17.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15243 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shannon Kaufman is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ST CLAIR HOSPITAL | 1000 BOWER HILL ROAD PITTSBURGH, PA 15243 | (412) 942-4000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 1 | 1 | 4 | 1 | 1 | 0 | 3 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 2 | 1 | 8 | 1 | 2 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 2 + 1 + 8 + 1 + 2 + 0 + 6 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1811411036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
DR. JAY ALLAN LUTINS M.D.
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
LAURIE A. KILKENNY M.D.
Specialist
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
DR. ARTHUR DUTTON THOMAS M.D.
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
KELLIE JACLYN METZLER PA
Physician Assistant
(Surgical)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
SHAILEN SHIVAM SEHGAL MD
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
ST CLAIR MEDICAL SERVICES INC
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
LUCILLE MARIE FRANK NP
Nurse Practitioner
(Family)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
MRS. STACY LYNNE KELLY NP
Nurse Practitioner
(Family)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
ANDREW JOSEPH GENTILIN
Anesthesiology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
KEYSTONE PAIN CONSULTANTS & INTERVENTIONAL SPINE SPECIALISTS PC
Pain Medicine
(Interventional Pain Medicine)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
DR. KARTHIK DWARKI MD
Pain Medicine
(Interventional Pain Medicine)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
KATHARINE DARIA CUSHMA PA-C
Physician Assistant
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
BRITTANY KLOES
Physician Assistant
(Medical)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA
ZIP 15243
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811411036, enumerated as an "individual" on July 30, 2017.
The provider is located at 1145 BOWER HILL RD STE 105 PITTSBURGH, PA 15243 and the phone number is (412) 572-6194.
Physician Assistant with taxonomy code 363A00000X.
Shannon Kaufman is affiliated with: ST CLAIR HOSPITAL.