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Active NPI 1588621445 Individual Practitioner Female Practitioner

Shannon Barbara Ross , PA

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Ross, PA is a certified Physician Assistant practicing in Boulder, CO. With approximately 23 years of clinical experience since completing medical education in 2003, Shannon Ross delivers high-quality medical care to the local community at 2525 13TH ST.

Shannon Ross is affiliated with K2 Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2525 13th St

Boulder, CO 803044104

Telephone 3034496050
Fax 7205654132
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +11.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ross (23 Years) 23 Yrs
Boulder Specialty Average (12.0 Years) 12.0 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
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
2,800 13 $1.72 $1.67
17003 Destruction of precancer skin growth, 2-14 growths
447 94 $10.00 $5.80
99213 Established patient office or other outpatient visit, typically 15 minutes
283 178 $102.00 $77.76
17000 Destruction of skin growth
213 129 $86.00 $47.18
11102 Tangential biopsy of single skin lesion
146 112 $133.00 $85.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
67 60 $64.00 $48.50
11103 Biopsy of related skin growth, each additional growth
50 36 $70.00 $43.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
47 41 $144.00 $109.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
28 28 $140.00 $95.17
17110 Destruction of up to 14 skin growths
26 12 $147.00 $99.12
96574 Application of light with debridement to destroy precancer skin growth
13 12 $396.00 $241.86

Medical Specialties & State Licenses

CMS Verified: 2021-05-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0002309

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64373215 (CO)

Hospital & Practice Group Affiliations

K2 Dermatology Llc

3434 47th St, Boulder, CO 803011817

Phone: 3034448100

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Registered Nurse

NPI 1013059302
Emily Barnak , PA-C

Physician Assistant

NPI 1033441431

Physician Assistant (Certified)

Sally Lowell , NP

Nurse Practitioner - Family

NPI 1043473499

Nurse Practitioner

Rachel Hess , PA-C

Physician Assistant - Medical

NPI 1053335562

Physician Assistant (Certified)

Amber Ivanova , LCSW, LAC

Social Worker - Clinical

NPI 1063917862

Licensed Clinical Social Worker, Licensed Acupuncturist

Eleanor Walker , ARNP

Nurse Practitioner

NPI 1073997458

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address June 15, 2020

Registered at 1735 S PUBLIC RD STE 203, LAFAYETTE, CO 800267093 (Tel: 3036653036)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Physician Assistant (License #PA.0002309 in CO)

NPI Profile Active July 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2013

Registered at 2525 13TH ST, BOULDER, CO 803044104 (Tel: 3034496050)

📍
Updated Business Mailing Address July 17, 2013

Registered at 1345 PLAZA CT N STE 1A, LAFAYETTE, CO 800262832 (Tel: 3036653036)

👤
Provider Name / Credentials Updated July 17, 2013

Recorded as SHANNON ROSS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2013

Physician Assistant (License #2309 in CO)

🟢
Initial NPI Registration & Enumeration April 26, 2006

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: 1588621445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: May 18, 2021
Sole Proprietor: No

Mailing Address

1735 S Public Rd Ste 203

Lafayette, CO 800267093

Phone: 3036653036

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.