Doctor profile · Federal record
Dr. Shannon Goldsmith, D.O.
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Ellisville, MS
- NPI 1477748648
- Accepts Medicare
- 19 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
822 Main St
Ellisville, MS 394372425
(601) 477-2014
fax (601) 477-9942 - Mailing address
-
415 S 28Th Ave
Hattiesburg, MS 394017246
Credentials & registration
- NPI registered
- September 2007 — 19 yrs on file
- Profile last updated
- July 9, 2020
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Mississippi #24285 · Ohio #34009767
- Medicaid (3)
- MS #07854358 · OH #3056277 · OH #0236248
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477748648. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,421
Distinct HCPCS
10
Medicare allowed
$158,305
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 548 | 275 | $118 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 397 | 55 | $58 | |
36415 |
Insertion of needle into vein for collection of blood sample | 374 | 232 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 200 | 143 | $83 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 195 | 195 | $120 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 109 | 93 | $8 | |
G0008 |
Administration of influenza virus vaccine | 104 | 103 | $28 | |
90662 |
Influenza vaccine split virus, preservative free | 92 | 91 | $72 | |
80305 |
Testing for presence of drug, read by direct observation | 58 | 24 | $12 | |
96372 |
Injection of drug or substance under skin or into muscle | 55 | 30 | $13 |
In context: peer comparison
Among 3 peers in Ellisville Family Medicine Physician, average services per provider: 118. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$692
Transactions
69
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 23 | $139.58 | |
| Abbvie INC. | 21 | $136.69 | |
| Janssen Pharmaceuticals, INC | 6 | $107.22 | |
| Novo Nordisk INC | 4 | $66.89 | |
| Lilly USA, LLC | 4 | $62.94 | |
| Amgen INC. | 3 | $46.50 | |
| Pfizer INC. | 2 | $32.34 | |
| Astellas Pharma US INC | 2 | $30.50 | |
| Medtronic, INC. | 1 | $22.65 | |
| Merck Sharp & Dohme LLC | 1 | $20.52 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $13.13 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $13.13 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,899
Patients
1,111
Total drug cost
$65,652
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 534 | 169 | $8,093 |
| Amlodipine Besylate | Generic | 387 | 124 | $3,607 |
| Gabapentin | Generic | 356 | 106 | $10,024 |
| Pantoprazole Sodium | Generic | 335 | 103 | $7,052 |
| Levothyroxine Sodium | Generic | 288 | 69 | $3,311 |
| Lisinopril | Generic | 261 | 78 | $2,743 |
| Omeprazole | Generic | 254 | 67 | $3,854 |
| Losartan Potassium | Generic | 229 | 64 | $4,201 |
| Trazodone Hcl | Generic | 222 | 61 | $7,482 |
| Metformin Hcl | Generic | 184 | 52 | $1,860 |
Frequently asked questions
What is Dr. Shannon Goldsmith's medical specialty?
Dr. Shannon Goldsmith practices Family Medicine Physician in Ellisville, MS.
Where does Dr. Shannon Goldsmith practice?
Dr. Shannon Goldsmith practices at 822 Main St, Ellisville, MS 394372425. Office phone: 6014772014.
What is Dr. Shannon Goldsmith's NPI?
Dr. Shannon Goldsmith's National Provider Identifier (NPI) is 1477748648, issued by NPPES.
Does Dr. Shannon Goldsmith accept Medicare assignment?
Yes. Dr. Shannon Goldsmith accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Goldsmith commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Chronic care management services (HCPCS 99490); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.