Doctor profile · Federal record
Dr. Shannon Detty, M.D.
Dermatology Physician (CMS: Dermatology) · Dermatology Physician · Boulder, CO
- NPI 1790149763
- Accepts Medicare
- MIPS 94.9 / 100 · 2023
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2880 Folsom St Ste 200
Boulder, CO 803043769
(303) 442-6647
fax (303) 442-2696 - Additional location
-
1056 S 88Th St
Louisville, CO 800279460 - Mailing address
-
600 Highland Ave
Madison, WI 537920001
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- October 7, 2022
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State licenses (2)
- Wisconsin #70147 · Wisconsin #6600-851
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790149763. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,493
Distinct HCPCS
10
Medicare allowed
$146,476
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 952 | 161 | $7 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 368 | 283 | $92 | |
11102 |
Biopsy of related skin growth, first growth | 255 | 212 | $94 | |
17000 |
Destruction of precancer skin growth, 1 growth | 242 | 194 | $48 | |
11103 |
Biopsy of related skin growth, each additional growth | 127 | 75 | $52 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 122 | 122 | $115 | |
17110 |
Destruction of skin growth, 1-14 growths | 120 | 102 | $114 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 73 | 62 | $131 | |
17262 |
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | 49 | 35 | $159 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 30 | 30 | $58 |
In context: peer comparison
Among 6 peers in Boulder Dermatology Physician, average services per provider: 145. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$636
Transactions
27
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen INC. | 8 | $195.35 | |
| Abbvie INC. | 8 | $186.07 | |
| Lilly USA, LLC | 4 | $77.12 | |
| Ucb, INC. | 1 | $43.31 | |
| Novartis Pharmaceuticals Corporation | 2 | $35.39 | |
| Leo Pharma INC. | 1 | $32.66 | |
| Sun Pharmaceutical Industries INC. | 1 | $31.70 | |
| Incyte Corporation | 1 | $20.86 | |
| Regeneron Healthcare Solutions, INC. | 1 | $13.84 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
231
Patients
180
Total drug cost
$6,092
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 51 | 40 | $305 |
| Ketoconazole | Generic | 40 | 27 | $813 |
| Clobetasol Propionate | Generic | 37 | 28 | $1,814 |
| Fluorouracil | Generic | 31 | 29 | $2,007 |
| Hydrocortisone | Generic | 25 | 25 | $194 |
| Mupirocin | Generic | 18 | 17 | $142 |
| Doxycycline Hyclate | Generic | 16 | 14 | $434 |
| Clindamycin Phosphate | Generic | 13 | 0 | $384 |
Frequently asked questions
What is Dr. Shannon Detty's medical specialty?
Dr. Shannon Detty practices Dermatology Physician in Boulder, CO.
Where does Dr. Shannon Detty practice?
Dr. Shannon Detty practices at 2880 Folsom St Ste 200, Boulder, CO 803043769. Office phone: 3034426647.
What is Dr. Shannon Detty's NPI?
Dr. Shannon Detty's National Provider Identifier (NPI) is 1790149763, issued by NPPES.
Does Dr. Shannon Detty accept Medicare assignment?
Yes. Dr. Shannon Detty accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Detty commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Biopsy of related skin growth, first growth (HCPCS 11102). Source: CMS Medicare Physician & Other Practitioners file.