JOHN P SHANNON MD
NPI 1982610903
Surgery in Walla Walla, WA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
301 W POPLAR, SUITE 210, WALLA WALLA, WA 99362(509) 522-5825(509) 529-3512 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John P Shannon Md NPPES

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

JOHN P SHANNON MD (NPI 1982610903) is an individual surgery provider in Walla Walla, Washington, licensed in Washington (15136) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of University Of Washington School Of Medicine (1971).

NPPES Registry Identity

NPI1982610903
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN P SHANNONCredential: MD
Location Address301 W POPLAR, SUITE 210Walla Walla, WA 99362
Mailing AddressPo Box 2292Walla Walla, WA 99362 · (509) 522-5815 · Fax (509) 522-5818
Fax(509) 529-3512
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1971
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
NPI 1982610903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · 15136
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
301 W POPLAR, Walla Walla, WA 99362

Other Identifiers 1

Medicaid1696004WA

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

John P Shannon 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 ID4183787740
PECOS Enrollment IDI20090108000654
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.

Hospital Affiliations CMS Care Compare

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Gastroenterology)
301 W POPLAR, SUITE 210
WALLA WALLA, WA 99362
Internal Medicine (Nephrology)
301 W POPLAR, SUITE 100
WALLA WALLA, WA 99362

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 John Shannon's NPI number?

The NPI number for John Shannon is 1982610903. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is John Shannon located?

John Shannon practices at 301 W Poplar Suite 210, Walla Walla, WA 99362. The listed phone number is (509) 522-5825.

What is John Shannon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Shannon enrolled in Medicare?

Yes. John 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 John Shannon accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John 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 John Shannon affiliated with any hospitals?

According to CMS data, John Shannon is affiliated with Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for John Shannon was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.