Active NPI 1215059506 Individual Practitioner Female Practitioner

Dr. Shannon Michelle Davis , DO

Surgery • Orland Park, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shannon Davis, DO is a certified Surgery practicing in Orland Park, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Davis delivers high-quality medical care to the local community at 15303 S 94TH AVE STE 110.

Dr. Davis is affiliated with Illinois Uvc Medical Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15303 S 94th Ave Ste 110

Orland Park, IL 604623825

Telephone 8009916117

Fax 8888128191

Associated Practice Facility / Clinic

🏢 Srinivas Rao Md Pa Facility NPI 1972941318

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Orland Park, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -11.3 yrs vs City Avg

City Avg: 32.3 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Orland Park, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (21 Years) 21 Yrs

Orland Park Specialty Average (32.3 Years) 32.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	115	$271.82	$131.17
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	267	80	$3741.60	$1654.16
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	261	103	$259.57	$119.57
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	253	73	$2925.71	$1287.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	234	163	$408.74	$188.98
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	126	58	$124.29	$58.72
99213 Established patient office or other outpatient visit, typically 15 minutes	108	65	$193.13	$93.86
36471 Injection of chemical agent into multiple incompetent veins of leg	95	48	$437.10	$209.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$360.09	$173.07
36470 Injection of chemical agent into single incompetent vein	31	23	$254.86	$116.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$469.51	$230.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$121.45	$58.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	126	37	$257.83	$127.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	44	$267.05	$135.09
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	94	26	$2935.43	$1397.32
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	80	25	$3769.80	$1786.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	55	27	$124.94	$62.06
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	37	$411.05	$200.77
36471 Injection of chemical agent into multiple incompetent veins of leg	47	26	$441.29	$217.59
99213 Established patient office or other outpatient visit, typically 15 minutes	28	18	$194.96	$96.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$326.51	$173.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	58	$170.00	$125.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$250.00	$164.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	35	$71.68	$54.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	13	$86.33	$79.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$44.38	$27.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$700.00	$126.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	96	$79.44	$49.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$112.11	$76.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$79.00	$71.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$143.67	$124.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	14	$700.00	$127.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$84.96	$24.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	98	$71.23	$49.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	30	$98.82	$75.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$77.03	$71.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	23	$700.00	$112.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$151.88	$123.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	13	$144.39	$106.57
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$154.00	$96.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	68	$134.00	$65.80
99213 Established patient office or other outpatient visit, typically 15 minutes	61	34	$116.05	$47.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$170.00	$97.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$161.00	$98.36
99221 Initial hospital inpatient care per day, typically 30 minutes	23	21	$154.00	$92.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$157.34	$72.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$700.00	$111.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$237.00	$150.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$75.00	$36.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$237.00	$118.57
47562 Removal of gallbladder using an endoscope	11	11	$282.00	$89.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$134.00	$68.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$170.00	$100.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$237.00	$154.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$161.00	$101.19

Medical Specialties & State Licenses

CMS Verified: 2025-02-15

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036164424

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.

Phlebology

NUCC Taxonomy Code: 202K00000X

State License IL 036164424

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 34.015496

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 05142

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 02003690A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0470386 (OH)

Medicaid State Provider ID

200992420 (IN)

Medicaid State Provider ID

7100787770 (KY)

Hospital & Practice Group Affiliations

Illinois Uvc Medical Pllc

4700 W 95th St, Oak Lawn, IL 604532572

Phone: 8009916117

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joseph Cocco , DO

Surgery

NPI 1003812942

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Worthington-Kirsch , MD

Radiology - Vascular & Interventional Radiology

NPI 1013916436

Doctor of Medicine (M.D.)

Dr. Rafael Quinones , MD

Surgery

NPI 1013929439

Doctor of Medicine (M.D.)

Dr. Malik Kutty , MD

Plastic Surgery

NPI 1043227622

Doctor of Medicine (M.D.)

Vicki Blackwell , PA

Physician Assistant - Surgical

NPI 1043235963

Physician Assistant

Dr. Michaela Klein , DO

Surgery

NPI 1043330285

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 Business Mailing Address February 15, 2025

Registered at 3820 NORTHDALE BLVD STE 201, TAMPA, FL 336241893 (Tel: 8132800705)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2025

Phlebology (License #036164424 in IL)

📍

Updated Practice Location December 19, 2023

Registered at 15303 S 94TH AVE STE 110, ORLAND PARK, IL 604623825 (Tel: 8009916117)

📍

Updated Business Mailing Address December 19, 2023

Registered at 3810 NORTHDALE BLVD STE 150, TAMPA, FL 336241871 (Tel: 8132800705)

👤

Provider Name / Credentials Updated December 19, 2023

Recorded as SHANNON DAVIS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2023

Surgery (License #05142 in KY)

📍

Updated Practice Location April 13, 2022

Registered at 4850 RED BANK RD FL 3, CINCINNATI, OH 452271545 (Tel: 5132212544)

📍

Updated Business Mailing Address April 13, 2022

Registered at 11595 N MERIDIAN ST STE 375, CARMEL, IN 460323950 (Tel: 3175757304)

✅

NPI Profile Active April 26, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2013

Registered at 368 BIELBY RD, SUITE 100, LAWRENCEBURG, IN 470252774 (Tel: 8125375772)

📍

Updated Business Mailing Address April 26, 2013

Registered at 368 BIELBY RD, SUITE 100, LAWRENCEBURG, IN 470252774 (Tel: 8125375772)

👤

Provider Name / Credentials Updated April 26, 2013

Recorded as SHANNON DAVIS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2013

Surgery (License #02003690A in IN)

🟢

Initial NPI Registration & Enumeration April 06, 2007

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: 1215059506

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 06, 2007

Last Update: February 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3820 Northdale Blvd Ste 201

Tampa, FL 336241893

Phone: 8132800705

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.