Doctor profile · Federal record

Dr. Thomas Shaknovsky, DO

Surgery Physician · Surgery Physician · Colon & Rectal Surgery Physician · Crestview, FL

  • NPI 1568690014
  • MIPS 75.0 / 100 · 2023
  • 17 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • Sanctions on record

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
214 Covell RD
Crestview, FL 325396060
(850) 864-4005
Additional location
554 Twin Cities Blvd Ste C
Niceville, FL 325781058
(850) 660-5204
Additional location
6879 US Highway 98 W
Santa Rosa Beach, FL 324593257
(850) 660-5204
Mailing address
Po Box 419076
Boston, MA 022419076

Credentials & registration

NPPES · NUCC
NPI registered
June 2009 — 17 yrs on file
Profile last updated
August 24, 2022
Specialty taxonomy
208600000X — NUCC code
State licenses (3)
Florida #OS16658 · New Jersey #25MA09329900 · Florida #16658

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

1 exclusion record on file

Always verify with the official OIG LEIE.
  • 1128b4 — excluded Jan 20, 2025 / reinstated Nov 30, -0001

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
533
Distinct HCPCS
10
Medicare allowed
$70,411
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 79 69 $125
99213 Established patient office or other outpatient visit, 20-29 minutes 65 56 $88
99204 New patient office or other outpatient visit, 45-59 minutes 59 59 $164
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 48 47 $127
99205 New patient office or other outpatient visit, 60-74 minutes 42 42 $214
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 41 38 $172
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 38 31 $50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 35 34 $112
99215 Established patient office or other outpatient visit, 40-54 minutes 29 26 $170
45380 Biopsy of large bowel using a flexible endoscope 19 19 $189

In context: peer comparison

Among 3 peers in Crestview Surgery Physician, average services per provider: 51. This provider delivers 10× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$400
Transactions
10
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
Biotissue Holdings INC. 1 $122.41
Tela Bio, INC. 5 $116.81
W. L. Gore & Associates, INC. 1 $62.59
Merit Medical Systems INC 1 $51.95
Endogastric Solutions, INC 1 $24.84
Ethicon US, LLC 1 $21.28

By nature of payment

Food and Beverage
$400

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
391
Patients
291
Total drug cost
$9,868
Drug Type Claims Patients Total cost
Ondansetron Hcl Generic 98 88 $581
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 90 76 $417
Pantoprazole Sodium Generic 64 26 $683
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 44 32 $223
Clenpiq (Sod Picosulf/Mag Ox/Citric Ac) Brand 41 41 $7,305
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 20 16 $132
Sucralfate Generic 18 0 $224
Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) Brand 16 12 $305

Frequently asked questions

Auto-generated from federal data
What is Dr. Thomas Shaknovsky's medical specialty?
Dr. Thomas Shaknovsky practices Surgery Physician in Crestview, FL.
Where does Dr. Thomas Shaknovsky practice?
Dr. Thomas Shaknovsky practices at 214 Covell RD, Crestview, FL 325396060. Office phone: 8508644005.
What is Dr. Thomas Shaknovsky's NPI?
Dr. Thomas Shaknovsky's National Provider Identifier (NPI) is 1568690014, issued by NPPES.
What procedures does Dr. Thomas Shaknovsky commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.