Shannon Tiebout, DO
NPI 1205488848 · Family Medicine Physician · Loris, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Tiebout, DO is a Family Medicine Physician provider in Loris, SC (NPI 1205488848).
Provider details
- NPI number
- 1205488848
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 82954 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
551 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 279 | $109 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 67 | $121 |
| Hemoglobin A1c Level83036 | 65 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $78 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 41 | $16 |
| Automated Urinalysis Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 149 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 378 | 128 |
| Gabapentin | 294 | 76 |
| Amlodipine Besylate | 262 | 81 |
| Pantoprazole Sodium | 244 | 70 |
| Omeprazole | 234 | 67 |
| Lisinopril | 209 | 67 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$730 across 38 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 853 N Church St Ste 510Spartanburg, SC 29303-3077Phone: (864) 560-1558
Registry dates
- Enumerated
- 2019-07-14
- Last updated
- 2023-12-19
- Certified
- 2022-07-14
Frequently asked questions
- What is Shannon Tiebout's NPI number?
- Shannon Tiebout's National Provider Identifier (NPI) is 1205488848, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Tiebout's specialty?
- Shannon Tiebout is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Tiebout located?
- Shannon Tiebout's practice location on file with NPPES is 3418 Casey St, Loris, SC 29569-2904.
- What is Shannon Tiebout's phone number?
- The practice phone number listed in the NPPES registry for Shannon Tiebout is (843) 756-7885.
- Does Shannon Tiebout accept Medicare?
- Shannon Tiebout is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Tiebout's NPI active?
- Yes — Shannon Tiebout's NPI (1205488848) is active in the NPPES registry as of the last update on 2023-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.