SHANNON F.R. SMALL MD
NPI 1932360161
Surgery - Surgical Critical Care in New London, CT

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 443-3147(860) 865-2395 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, Jan 21, 2022, May 2, 2019 and 3 more (6 updates tracked since 2017).

About Shannon F.r. Small Md NPPES

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

SHANNON F.R. SMALL MD (NPI 1932360161) is an individual surgical critical care provider in New London, Connecticut, licensed in Connecticut (79645) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2008).

NPPES Registry Identity

NPI1932360161
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameSHANNON F.R. SMALLCredential: MD
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 443-3147 · Fax (860) 865-2395
Fax(860) 865-2395
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateNovember 11, 20246 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
NPI 1932360161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses Licensed in CT · 79645 Licensed in IL · 036143686 Licensed in VA · 0101249001
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

365 MONTAUK AVE, New London, CT 06320

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 F.r. Small Md 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 ID1355581018
PECOS Enrollment IDI20250121000372
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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-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.
63 services46 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
28 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Nurse Practitioner (Family)
365 MONTAUK AVE
NEW LONDON, CT 06320

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 Small's NPI number?

The NPI number for Shannon Small is 1932360161. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Shannon Small located?

Shannon Small practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 443-3147.

What is Shannon Small's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Shannon Small enrolled in Medicare?

Yes. Shannon Small 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 Small was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.