Kristopher Shannon, M.D.
NPI 1063807022 · Emergency Medicine Physician · Pocatello, ID
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristopher Shannon, M.D. is a Emergency Medicine Physician provider in Pocatello, ID (NPI 1063807022).
Provider details
- NPI number
- 1063807022
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-16351 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 20 | 20 |
| Ciprofloxacin Hcl | 16 | 16 |
| Ondansetronbrand: Ondansetron Odt | 16 | 16 |
| Dexamethasone | 14 | 13 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 98 Poplar StBlackfoot, ID 83221-1799Phone: (208) 785-3813
Registry dates
- Enumerated
- 2015-04-06
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Kristopher Shannon's NPI number?
- Kristopher Shannon's National Provider Identifier (NPI) is 1063807022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristopher Shannon's specialty?
- Kristopher Shannon is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kristopher Shannon located?
- Kristopher Shannon's practice location on file with NPPES is 850 Yellowstone Ave, Pocatello, ID 83201-4415.
- What is Kristopher Shannon's phone number?
- The practice phone number listed in the NPPES registry for Kristopher Shannon is (208) 239-8065.
- Does Kristopher Shannon accept Medicare?
- Kristopher Shannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristopher Shannon's NPI active?
- Yes — Kristopher Shannon's NPI (1063807022) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.