Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043673791 Individual Practitioner Female Practitioner

Dr. Shannon Marie Smith , MD, MPH

Urology • Fairbanks, AK

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Shannon Smith, MD, MPH is a registered Urology practitioner in Fairbanks, AK. With approximately 10 years of clinical practice since completing medical education in 2016, Dr. Smith provides healthcare services at the registered practice location at 1650 COWLES ST.

Dr. Smith is affiliated with Tanana Valley Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound measurement of bladder capacity after voiding, established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1650 Cowles St

Fairbanks, AK 997015907

Telephone 9074582630
Fax 9074593508
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fairbanks, AK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -5.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Fairbanks, AK (33 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (10 Years) 10 Yrs
Fairbanks Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding
124 81 $63.31 $13.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
60 46 $453.33 $139.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
49 41 $633.29 $195.63
52000 Diagnostic exam of bladder and urethra using an endoscope
40 35 $658.80 $84.13
99443 Telephone medical discussion with physician, 21-30 minutes
37 30 $456.03 $138.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
33 33 $591.12 $179.28
99213 Established patient office or other outpatient visit, typically 15 minutes
26 18 $335.31 $99.47
51736 Simple timed assessment of bladder emptying
25 16 $149.16 $14.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
23 23 $762.39 $237.19
51700 Simple bladder irrigation and/or instillation
22 12 $279.77 $74.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
16 15 $424.00 $138.63
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies
11 11 $1381.27 $433.94
51741 Electronic assessment of bladder emptying
11 11 $248.27 $7.76
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
11 11 $615.91 $35.29
51797 Insertion of device into abdomen with pressure and urine flow rate study
11 11 $697.18 $216.92

Medical Specialties & State Licenses

CMS Verified: 2025-06-12
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License AK 232073

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.

Urology

NUCC Taxonomy Code: 208800000X

State License CA A172902

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1753434 (AK)

Hospital & Practice Group Affiliations

Tanana Valley Clinic Llc

1650 Cowles St, Fairbanks, AK 997015907

Phone: 9074593500

Secondary Practice Locations

8635 W 3rd St # 420e

Los Angeles, CA 900486101

Phone: 3104234256

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Clawson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003554056

Certified Registered Nurse Anesthetist

Lauren Pantone , PT

Physical Therapist

NPI 1003630682

Physical Therapist

NPI 1013276898

Doctor of Osteopathic Medicine (D.O.)

NPI 1023046034

Doctor of Medicine (M.D.)

Jeri Reid , PA

Physician Assistant

NPI 1023548872

Physician Assistant

Dr. James Cagle , DO

Internal Medicine - Critical Care Medicine

NPI 1033271853

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 12, 2025

Registered at 1650 COWLES ST, FAIRBANKS, AK 997015907 (Tel: 9074582630)

📍
Updated Business Mailing Address June 12, 2025

Registered at 1650 COWLES ST, FAIRBANKS, AK 997015907 (Tel: 9074582630)

📍
Updated Practice Location April 15, 2022

Registered at 8635 W 3RD ST # 420E, LOS ANGELES, CA 900486101 (Tel: 3104234256)

📍
Updated Business Mailing Address April 15, 2022

Registered at 8635 W 3RD ST # 420E, LOS ANGELES, CA 900486101 (Tel: 3104234256)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Urology (License #A172902 in CA)

📍
Updated Practice Location July 06, 2021

Registered at 8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 900481804 (Tel: 3104234256)

📍
Updated Business Mailing Address July 06, 2021

Registered at 4140 W 190TH ST, TORRANCE, CA 905045513 (Tel: 3109671780)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Urology (License #C172158 in CA)

NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2016

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402 (Tel: 9183449496)

📍
Updated Business Mailing Address March 31, 2016

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401402

👤
Provider Name / Credentials Updated March 31, 2016

Recorded as SHANNON SMITH, MD/MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043673791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2016
Last Update: June 12, 2025
Sole Proprietor: No

Mailing Address

1650 Cowles St

Fairbanks, AK 997015907

Phone: 9074582630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.