Doctor profile · Federal record
Dr. Shannon Wiedersum, D.O
Dermatology Physician (CMS: Dermatology) · Doylestown, PA
- NPI 1013396944
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
252 W Swamp RD Ste 48
Doylestown, PA 189012408
(215) 230-9988
fax (215) 230-9989
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- November 5, 2020
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Pennsylvania #OS019788
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013396944. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,242
Distinct HCPCS
10
Medicare allowed
$224,632
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 1,004 | 252 | $7 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 624 | 550 | $96 | |
17000 |
Destruction of precancer skin growth, 1 growth | 457 | 371 | $56 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 315 | 265 | $135 | |
17110 |
Destruction of skin growth, 1-14 growths | 271 | 242 | $115 | |
11102 |
Biopsy of related skin growth, first growth | 166 | 163 | $93 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 86 | 82 | $60 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $119 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $176 | |
17262 |
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | 43 | 33 | $168 |
In context: peer comparison
Among 5 peers in Doylestown Dermatology Physician, average services per provider: 310. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$1,788
Transactions
93
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 19 | $229.29 | |
| Janssen Biotech, INC. | 11 | $218.93 | |
| E.R. Squibb & Sons, L.L.C. | 8 | $165.91 | |
| Pfizer INC. | 15 | $155.54 | |
| Sun Pharmaceutical Industries INC. | 6 | $129.49 | |
| Regeneron Healthcare Solutions, INC. | 4 | $128.69 | |
| Ucb, INC. | 3 | $95.52 | |
| Lilly USA, LLC | 5 | $89.41 | |
| Novartis Pharmaceuticals Corporation | 4 | $86.70 | |
| Dermavant Sciences, INC. | 4 | $80.88 | |
| Genzyme Corporation | 3 | $73.43 | |
| Leo Pharma INC. | 3 | $65.46 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 3 | $50.96 | |
| Galderma Laboratories, L.P. | 3 | $50.47 | |
| Blueprint Medicines Corporation | 2 | $41.40 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
756
Patients
445
Total drug cost
$17,804
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 114 | 89 | $1,334 |
| Ketoconazole | Generic | 101 | 52 | $2,157 |
| Mometasone Furoate | Generic | 72 | 53 | $1,210 |
| Finasteride | Generic | 70 | 22 | $1,182 |
| Doxycycline Monohydrate | Generic | 67 | 31 | $1,219 |
| Betamethasone Dipropionate | Generic | 63 | 52 | $2,654 |
| Betamethasone Diprop Augmented (Betamethasone/Propylene Glyc) | Brand | 60 | 33 | $1,865 |
| Mupirocin | Generic | 53 | 43 | $393 |
| Metronidazole | Generic | 32 | 16 | $1,724 |
| Clindamycin Phosphate | Generic | 27 | 14 | $724 |
Hospital affiliations
Frequently asked questions
What is Dr. Shannon Wiedersum's medical specialty?
Dr. Shannon Wiedersum practices Dermatology Physician in Doylestown, PA.
Where does Dr. Shannon Wiedersum practice?
Dr. Shannon Wiedersum practices at 252 W Swamp RD Ste 48, Doylestown, PA 189012408. Office phone: 2152309988.
What is Dr. Shannon Wiedersum's NPI?
Dr. Shannon Wiedersum's National Provider Identifier (NPI) is 1013396944, issued by NPPES.
Does Dr. Shannon Wiedersum accept Medicare assignment?
Yes. Dr. Shannon Wiedersum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Wiedersum 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.