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Active NPI 1497315873 Individual Practitioner Male Practitioner

Dr. Shawn Michael Poole , MD

Surgery - Vascular Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Poole, MD is a certified Surgery - Vascular Surgery practicing in Springfield, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Dr. Poole delivers high-quality medical care to the local community at 701 N 1ST ST # D346.

Dr. Poole is affiliated with Northside Surgical Professional Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, new 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

701 N 1st St # D346

Springfield, IL 627023757

Telephone 2175458444
Fax 2175452563

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Springfield, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -16.8 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Springfield, IL (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Poole (2 Years) 2 Yrs
Springfield Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
13 11 $364.00 $116.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $503.00 $165.22

Medical Specialties & State Licenses

CMS Verified: 2023-09-07
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License IL 125.074978

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License GA 101054

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Northside Surgical Professional Services Llc

980 Johnson Ferry Rd, Atlanta, GA 303421609

Phone: 7702923490

Secondary Practice Locations

980 Johnson Ferry Rd Ste 1040

Atlanta, GA 303421609

Phone: 7702923490

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Fillip Komornik , MD

Surgery - Vascular Surgery

NPI 1053005108

Doctor of Medicine (M.D.)

Annie Syed

Surgery - Vascular Surgery

NPI 1174384085
Garrett Sweatt

Surgery - Vascular Surgery

NPI 1194576769
Dr. Don Ramsey , MD

Surgery - Vascular Surgery

NPI 1366438897

Doctor of Medicine (M.D.)

Dr. Kim Hodgson , MD

Surgery - Vascular Surgery

NPI 1417943937

Doctor of Medicine (M.D.)

Syed Zaidi

Surgery - Vascular Surgery

NPI 1447888581

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2024

Surgery (License #101054 in GA)

NPI Profile Active June 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2019

Registered at 701 N 1ST ST # D346, SPRINGFIELD, IL 627023757 (Tel: 2175458856)

📍
Updated Business Mailing Address June 18, 2019

Registered at PO BOX 19638, SPRINGFIELD, IL 627949638 (Tel: 2175458856)

👤
Provider Name / Credentials Updated June 18, 2019

Recorded as SHAWN POOLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Surgery (License #125.074978 in IL)

🟢
Initial NPI Registration & Enumeration June 18, 2019

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: 1497315873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2019
Last Update: July 22, 2024
Sole Proprietor: No

Mailing Address

Po Box 19638

Springfield, IL 627949638

Phone: 2175458856

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.