DR. PAUL JASON SHANNON M.D.
NPI 1851562342
Urology in Huntington, NY

Active since March 12, 2008PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
21 SOUTHDOWN RD, HUNTINGTON, NY 11743(631) 351-3763(631) 385-8210 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Jason Shannon M.d. NPPES

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

DR. PAUL JASON SHANNON M.D. (NPI 1851562342) is an individual urology provider in Huntington, New York, licensed in New York (263190) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and is a graduate of University Of Mississippi School Of Medicine (2003).

NPPES Registry Identity

NPI1851562342
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL JASON SHANNONCredential: M.D.
Location Address21 SOUTHDOWN RDHuntington, NY 11743-2538
Mailing Address21 Southdown RdHuntington, NY 11743-2538 · (631) 351-3763 · Fax (631) 385-8210
Fax(631) 385-8210
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2003
Enumeration DateMarch 12, 2008
Last NPPES UpdateOctober 5, 2012
NPI 1851562342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NY · 263190 Licensed in MS · 19650
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
21 SOUTHDOWN RD, Huntington, NY 11743

Accepted 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. Paul Jason Shannon 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 ID4981777075
PECOS Enrollment IDI20080723000249
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
331 services253 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
160 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
135 services108 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
42 services38 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
36 services34 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250007
Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County
Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Singing River Health System

Acute Care Hospitals · Pascagoula, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250040
Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims315 services$1.73 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers39 claims3,330 services$1.56 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers14 claims2,094 services$6.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physical Therapist (Orthopedic)
21 SOUTHDOWN RD
HUNTINGTON, NY 11743
Physical Therapist
21 SOUTHDOWN RD
HUNTINGTON, NY 11743
Physical Therapist
21 SOUTHDOWN RD
HUNTINGTON, NY 11743
Urology (Pediatric Urology)
21 SOUTHDOWN RD
HUNTINGTON, NY 11743
Urology
21 SOUTHDOWN RD
HUNTINGTON, NY 11743
Urology
21 SOUTHDOWN RD
HUNTINGTON, NY 11743

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 Paul Shannon's NPI number?

The NPI number for Paul Shannon is 1851562342. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Paul Shannon located?

Paul Shannon practices at 21 Southdown Rd, Huntington, NY 11743. The listed phone number is (631) 351-3763.

What is Paul Shannon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Shannon enrolled in Medicare?

Yes. Paul 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 Paul Shannon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Paul 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.

Is Paul Shannon affiliated with any hospitals?

According to CMS data, Paul Shannon is affiliated with Merit Health Biloxi, Memorial Hospital At Gulfport, Singing River Health System and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Paul Shannon was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.