Active NPI 1013979079 Individual Practitioner Female Practitioner

Shanon Dione Bennett , PA-C

Physician Assistant • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shanon Bennett, PA-C is a certified Physician Assistant practicing in Waterloo, IA. With approximately 31 years of clinical experience since completing medical education in 1995, Shanon Bennett delivers high-quality medical care to the local community at 1731 W RIDGEWAY AVE STE 100.

Shanon Bennett is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, detection test by immunoassay with direct visual observation for streptococcus, group a (strep). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1731 W Ridgeway Ave Ste 100

Waterloo, IA 507014591

Telephone 3198335888

Fax 3198335891

Associated Practice Facility / Clinic

🏢 Iowa Physicians Clinic Medical Foundation Facility NPI 1235204967

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waterloo, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +17.2 yrs vs City Avg

City Avg: 13.8 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

32 Specialists

Practicing in Waterloo, IA (1543 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bennett (31 Years) 31 Yrs

Waterloo Specialty Average (13.8 Years) 13.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	280	250	$168.76	$71.28
81003 Automated urinalysis test	51	46	$6.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$42.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	217	$171.55	$70.93
81003 Automated urinalysis test	44	40	$6.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$42.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	210	203	$172.00	$71.74
81003 Automated urinalysis test	46	44	$7.00	$2.21
99285 Emergency department visit for life threatening or functioning severity	13	13	$420.00	$140.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	386	386	$66.29	$34.69
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	385	385	$79.96	$37.36
99213 Established patient office or other outpatient visit, typically 15 minutes	161	149	$160.00	$73.23
0003A Adm sarscov2 30mcg/0.3ml 3rd	59	59	$80.00	$37.36
81003 Automated urinalysis test	17	16	$7.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	152	$141.00	$60.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$207.00	$87.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	27	$43.00	$18.45
81003 Automated urinalysis test	22	22	$7.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	191	$141.00	$58.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	83	$207.00	$86.57
81003 Automated urinalysis test	42	41	$6.00	$2.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	13	$41.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	222	$132.24	$58.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	123	$201.46	$84.11
J1885 Injection, ketorolac tromethamine, per 15 mg	60	15	$12.93	$0.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	23	$48.88	$16.21
81003 Automated urinalysis test	15	15	$10.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	197	$125.10	$57.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$55.00	$19.95

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 001016

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NC 001000136

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare

970024832 (IA)

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221637

Phone: 5637425950

Iowa Physicians Clinic Medical Foundation

1655 E San Marnan Dr, Waterloo, IA 507024378

Phone: 3192322281

Iowa Physicians Clinic Medical Foundation

1000 Brandilynn Blvd, Cedar Falls, IA 506137462

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Practice Associates & Co-Workers

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

4 Associated Practitioners

Nicole Slater , ARNP

Nurse Practitioner

NPI 1134580657

Advanced Registered Nurse Practitioner

Dr. Jayalakshmi Murugaian , MD

Family Medicine

NPI 1215915483

Doctor of Medicine (M.D.)

Robin Pattison , ARNP

Nurse Practitioner

NPI 1235589656

Advanced Registered Nurse Practitioner

Rebecca Chittenden , PA

Physician Assistant

NPI 1841434313

Physician Assistant

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Physician Assistant (License #001000136 in NC)

✅

NPI Profile Active September 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2017

Registered at 1731 W RIDGEWAY AVE STE 100, WATERLOO, IA 507014591 (Tel: (319) 833-5888)

📍

Updated Business Mailing Address September 29, 2017

Registered at 1731 W RIDGEWAY AVE STE 100, WATERLOO, IA 507014591 (Tel: (319) 833-5888)

👤

Provider Name / Credentials Updated September 29, 2017

Recorded as SHANON BENNETT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2017

Physician Assistant (License #001000136 in NC)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2017

Physician Assistant (License #001016 in IA)

✅

NPI Profile Active October 22, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2007

Registered at 107 N SUMMEY ST, DALLAS, NC 280341824 (Tel: 7049230446)

📍

Updated Business Mailing Address October 22, 2007

Registered at PO BOX 578, DALLAS, NC 280340578 (Tel: 7049230446)

👤

Provider Name / Credentials Updated October 22, 2007

Recorded as SHANON BENNETT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2007

Physician Assistant

🟢

Initial NPI Registration & Enumeration April 05, 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: 1013979079

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1731 W Ridgeway Ave Ste 100

Waterloo, IA 507014591

Phone: 3198335888

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.