Doctor profile · Federal record
Dr. Shannon Ellis, PA-C
Physician Assistant · Medical Physician Assistant · Southern Pines, NC
- NPI 1841848678
- Accepts Medicare
- MIPS 99.2 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
200 Pavilion Way
Southern Pines, NC 283874561
(910) 235-3204 - Additional location
-
125 Fox Hollow RD Ste 210
Pinehurst, NC 283748593
(910) 295-7546
fax (910) 692-2831
Credentials & registration
- NPI registered
- August 2019 — 7 yrs on file
- Profile last updated
- September 27, 2023
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- North Carolina #0010-09344 · North Carolina #001009344
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841848678. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,177
Distinct HCPCS
10
Medicare allowed
$123,572
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 1,452 | 225 | $5 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 498 | 374 | $73 | |
17000 |
Destruction of precancer skin growth, 1 growth | 380 | 289 | $43 | |
17110 |
Destruction of skin growth, 1-14 growths | 170 | 138 | $82 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 127 | 116 | $46 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 78 | 78 | $86 | |
11102 |
Biopsy of related skin growth, first growth | 73 | 70 | $72 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 62 | 52 | $103 | |
11301 |
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 60 | 53 | $88 | |
17004 |
Destruction of precancer skin growth, 15 or more growths | 55 | 49 | $134 |
In context: peer comparison
Among 7 peers in Southern Pines Physician Assistant, average services per provider: 158. This provider delivers 20× the peer median.Open Payments
Industry payments received
All-time total
$1,923
Transactions
77
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 10 | $250.54 | |
| Regeneron Healthcare Solutions, INC. | 8 | $238.64 | |
| E.R. Squibb & Sons, L.L.C. | 15 | $206.47 | |
| Sun Pharmaceutical Industries INC. | 7 | $179.38 | |
| Genzyme Corporation | 4 | $156.67 | |
| Ucb, INC. | 5 | $156.32 | |
| Incyte Corporation | 6 | $129.55 | |
| Lilly USA, LLC | 6 | $104.38 | |
| Novartis Pharmaceuticals Corporation | 3 | $69.60 | |
| Organogenesis INC. | 1 | $69.29 | |
| Pfizer INC. | 4 | $68.52 | |
| Janssen Biotech, INC. | 3 | $63.83 | |
| Amgen INC. | 2 | $57.61 | |
| Verrica Pharmaceuticals INC. | 2 | $39.13 | |
| Journey Medical Corporation | 1 | $27.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,272
Patients
661
Total drug cost
$713,474
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ketoconazole | Generic | 312 | 141 | $7,688 |
| Clobetasol Propionate | Generic | 159 | 88 | $9,761 |
| Triamcinolone Acetonide | Generic | 141 | 102 | $1,814 |
| Fluorouracil | Generic | 95 | 59 | $9,436 |
| Nystatin | Generic | 83 | 39 | $1,187 |
| Betamethasone Dipropionate | Generic | 81 | 52 | $5,724 |
| Doxycycline Hyclate | Generic | 59 | 48 | $1,365 |
| Metronidazole | Generic | 55 | 27 | $5,345 |
| Humira(Cf) Pen (Adalimumab) | Brand | 52 | 0 | $508,408 |
| Tacrolimus | Generic | 52 | 30 | $9,215 |
Frequently asked questions
What is Dr. Shannon Ellis's medical specialty?
Dr. Shannon Ellis practices Physician Assistant in Southern Pines, NC.
Where does Dr. Shannon Ellis practice?
Dr. Shannon Ellis practices at 200 Pavilion Way, Southern Pines, NC 283874561. Office phone: 9102353204.
What is Dr. Shannon Ellis's NPI?
Dr. Shannon Ellis's National Provider Identifier (NPI) is 1841848678, issued by NPPES.
Does Dr. Shannon Ellis accept Medicare assignment?
Yes. Dr. Shannon Ellis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Ellis 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); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.