Shannon Detty, M.D.
NPI 1790149763 · Dermatology Physician · Boulder, CO
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Detty, M.D. is a Dermatology Physician provider in Boulder, CO (NPI 1790149763).
Provider details
- NPI number
- 1790149763
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 6600-851 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
2,296 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 942 | $7 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 395 | $91 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 226 | $48 |
| Biopsy of Related Skin Growth, First Growth11102 | 218 | $90 |
| Biopsy of Related Skin Growth, Each Additional Growth11103 | 122 | $51 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Triamcinolone Acetonide | 65 | 53 |
| Clobetasol Propionate | 61 | 29 |
| Fluorouracil | 34 | 29 |
| Ketoconazole | 33 | 18 |
| Hydrocortisone | 21 | 20 |
| Clindamycin Phosphate | 14 | — |
| Doxycycline Hyclate | 13 | 13 |
| Valacyclovir Hclbrand: Valacyclovir | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$636 across 27 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)
- 1056 S 88th StLouisville, CO 80027-9460Phone: (303) 442-6647Fax: (303) 442-2696
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Frequently asked questions
- What is Shannon Detty's NPI number?
- Shannon Detty's National Provider Identifier (NPI) is 1790149763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Detty's specialty?
- Shannon Detty is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Detty located?
- Shannon Detty's practice location on file with NPPES is 2880 Folsom St Ste 200, Boulder, CO 80304-3769.
- What is Shannon Detty's phone number?
- The practice phone number listed in the NPPES registry for Shannon Detty is (303) 442-6647.
- Does Shannon Detty accept Medicare?
- Shannon Detty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Detty's NPI active?
- Yes — Shannon Detty's NPI (1790149763) is active in the NPPES registry as of the last update on 2022-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.