Dr. Shannon L Bongers , MD
Surgery • Plano, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shannon Bongers has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Shannon Bongers, MD was a registered Surgery practicing in Plano, TX. Throughout an active medical career spanning 15 years, Dr. Bongers provided care at the practice location at 4001 W 15TH ST until profile deactivation on 2020-12-02.
Historical Medicare Part B clinical services included established patient outpatient office visit, partial removal of breast, lymph node imaging during surgery. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
4001 W 15th St
Ste 180
Plano, TX 750935841
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Plano, TX
Practicing in Plano, TX (2342 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
63 | 61 | $107.00 | $75.75 |
|
19301
Partial removal of breast
|
16 | 13 | $1342.00 | $730.99 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
MSCRNFAFNPC
Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 02, 2020
NPI status registered as active in NPPES database
Registered at 3601 W 13 MILE RD, ROYAL OAK, MI 480736712 (Tel: 2485513300)
Registered at 130 TOWN CENTER DRIVE, 203, TROY, MI 480841744
Recorded as SHANNON BONGERS, MD
Surgery (License #4301054892 in MI)
NPI status registered as active in NPPES database
Registered at 4001 W 15TH ST, STE 180, PLANO, TX 750935841 (Tel: 9725965225)
Registered at 4001 W 15TH ST, STE 180, PLANO, TX 750935841 (Tel: 9725965225)
Recorded as SHANNON BONGERS, M.D.
Surgery (License #K8015 in TX)
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
Mailing Address
4001 W 15th St, Ste 180
Plano, TX 750935841
Phone: 9725965225
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