Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316933260 Individual Practitioner Male Practitioner

Dr. Patrick L. Shannon , MD

Specialist • Boardman, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Shannon, MD is a certified Specialist practicing in Boardman, OH. With approximately 31 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1995, Dr. Shannon delivers high-quality medical care to the local community at 987 BOARDMAN CANFIELD RD.

Dr. Shannon is affiliated with Optima Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

987 Boardman Canfield Rd

Boardman, OH 445124222

Telephone 3309658760
Fax 3309659325
Associated Practice Facility / Clinic
🏢 Optima Dermatology Llc Facility NPI 1831187764

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boardman, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs -3.0 yrs vs City Avg
City Avg: 34.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Boardman, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shannon (31 Years) 31 Yrs
Boardman Specialty Average (34.0 Years) 34.0 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
17003 Destruction of precancer skin growth, 2-14 growths
1,559 295 $10.08 $6.42
99213 Established patient office or other outpatient visit, typically 15 minutes
841 636 $139.58 $89.95
17000 Destruction of skin growth
529 405 $102.80 $52.01
Q4196 Puraply am, per square centimeter
383 21 $174.43 $102.86
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
265 217 $1039.70 $647.98
17110 Destruction of up to 14 skin growths
222 207 $172.53 $100.80
Q4158 Kerecis omega3, per square centimeter
139 24 $164.80 $93.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
110 99 $197.71 $125.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
107 97 $727.50 $234.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
85 85 $173.70 $110.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
82 71 $186.59 $102.11
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
77 74 $654.64 $220.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
72 24 $1.74 $1.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
66 61 $465.86 $290.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
64 58 $86.91 $56.13
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
62 52 $628.80 $393.23
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
59 55 $209.95 $124.53
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
57 33 $244.67 $110.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
46 41 $375.82 $118.32
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
46 42 $974.75 $622.75
11900 Injection into skin growth, 1-7 growths
43 18 $87.54 $46.14
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
36 33 $188.35 $104.45
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth
33 30 $178.19 $97.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
32 15 $35.06 $22.51
11200 Removal of skin tag, 1-15 skin tags
30 29 $140.22 $67.11
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
27 26 $598.46 $186.02
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs
23 23 $154.26 $76.15
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
22 20 $210.13 $129.50
17004 Destruction of precancer skin growth, 15 or more growths
19 16 $258.62 $164.24
17111 Destruction of skin growth, 15 or more growths
17 12 $202.26 $122.51
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
17 13 $236.42 $98.91
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
16 16 $430.21 $137.82
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
14 13 $263.63 $84.79
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
13 13 $213.90 $124.82
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
11 11 $654.61 $208.45
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
11 11 $240.50 $144.31
11104 Punch biopsy, first skin growth
11 11 $191.70 $121.68

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35076264S

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Qualchoice
97198 (OH)
Commercial Insurance / Payer ID United Healthcare
0300914 (OH)

Hospital & Practice Group Affiliations

Optima Dermatology Llc

987 Boardman Canfield Rd, Boardman, OH 445124222

Phone: 3309658760

Practice Associates & Co-Workers

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

14 Associated Practitioners
Ashley Mckee , NP-C

Nurse Practitioner - Family

NPI 1053200774

Nurse Practitioner (Certified)

Nicole Woolley , PA-C

Physician Assistant

NPI 1053938134

Physician Assistant (Certified)

NPI 1093020133

Doctor of Osteopathic Medicine (D.O.)

Anne Zajac , PA-C

Physician Assistant - Medical

NPI 1104804707

Physician Assistant (Certified)

NPI 1215923115

Doctor of Medicine (M.D.)

Casey Dickey , PA-C

Physician Assistant

NPI 1245637321

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 987 BOARDMAN CANFIELD RD, BOARDMAN, OH 445124222 (Tel: 3309658760)

📍
Updated Business Mailing Address July 08, 2007

Registered at 987 BOARDMAN CANFIELD RD, BOARDMAN, OH 445124222 (Tel: 3309658760)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PATRICK SHANNON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #35076264S in OH)

🟢
Initial NPI Registration & Enumeration September 26, 2005

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: 1316933260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

987 Boardman Canfield Rd

Boardman, OH 445124222

Phone: 3309658760

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.