Medicare Enrolled

Dr. George Shanno, M.D.

Neurological Surgery · Vancouver, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
200 NE MOTHER JOSEPH PL, Vancouver, WA 98664
3602546161
In practice since 2006 (20 years)
NPI: 1295780278 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Shanno from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Shanno? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Shanno

Dr. George Shanno is a neurological surgery specialist in Vancouver, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shanno performed 454 Medicare services across 393 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shanno received a total of $8,491 from 30 pharmaceutical and/or device companies across 131 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Shanno is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 14% volume in WA $8,491 industry payments

Medicare Practice Summary

Medicare Utilization ↗
454
Medicare services
Top 14% in WA for neurological surgery
393
Unique beneficiaries
$187
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~23 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
79 $127 $480
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
79 $92 $371
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
63 $69 $261
X-ray of lower and sacral spine, minimum of 4 views
An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints.
45 $41 $146
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
40 $31 $115
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
25 $842 $3,197
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
23 $79 $320
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
20 $203 $739
New patient office visit, complex (60-74 min) 17 $167 $634
Partial removal of spine bone with nerve release, each additional segment
This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment.
16 $158 $605
Lower back spinal fusion with bone and disc removal
A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area.
12 $1,441 $5,344
Partial removal of spine bone with nerve release during fusion
This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion.
12 $203 $742
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
12 $145 $519
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
11 $599 $2,189
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
9.7% high complexity
0.0% medium
90.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$8,491
Total received (2018-2024)
Avg $1,213/year across 7 years
Top 23% in WA for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
131
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,940 (81.7%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$1,452 (17.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (1.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,793
2023
$2,431
2022
$1,082
2021
$369
2020
$334
2019
$855
2018
$1,627

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
MicroVention, Inc.
$699
Alphatec Spine, Inc
$317
Providence Medical Technology, Inc.
$201
Kuros Biosciences USA, Inc
$170
Orthofix Medical, Inc.
$153
DePuy Synthes Sales Inc.
$131
Cerapedics Inc.
$31
Kaneka Medical America LLC
$30
Penumbra, Inc.
$23
Imperative Care, Inc
$20
QAPEL MEDICAL INC
$18
Top 3 companies account for 67.9% of 2024 payments
All-time payments by company (2018-2024) ›
Alphatec Spine, Inc
$1,761
Globus Medical, Inc.
$1,452
MicroVention, Inc.
$916
Providence Medical Technology, Inc.
$916
SeaSpine Orthopedics Corporation
$750
DePuy Synthes Sales Inc.
$570
SEASPINE ORTHOPEDICS CORPORATION
$417
Medtronic, Inc.
$251
Brainlab, Inc.
$199
Zimmer Biomet Holdings, Inc.
$192
Cerapedics Inc.
$185
Kuros Biosciences USA, Inc
$170
Orthofix Medical, Inc.
$153
NuVasive, Inc.
$127
Penumbra, Inc.
$56
Medtronic USA, Inc.
$49
QAPEL MEDICAL INC
$43
Cardinal Health 200, LLC
$38
Smith+Nephew, Inc.
$38
Kaneka Medical America LLC
$30
Route 92 Medical, Inc.
$29
Chiesi USA, Inc.
$21
Imperative Care, Inc
$20
ZIMVIE INC.
$17
Terumo Medical Corporation
$16
Smith & Nephew, Inc.
$16
Abbott Laboratories
$16
Amgen Inc.
$15
RTI Surgical, Inc.
$14
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 48.6% of all-time payments
Associated products mentioned in payments ›
7D Surgical FLASH Frame · 8F BASE CAMP SHEATH SYSTEM · ANGIOGUARD RX Emboli Capture Guidewire System · Allograft · Battalion TLIF - PC · CLEVIPREX · CREO · Corlanor · EMBOTRAP · EMBOTRAP II Revascularization Device · ENTERPRISE · ERIC RETRIEVAL DEVICE · Embotrap · Excelsius - GPS · GALAXY · GLIDESHEATH SLENDER · Galaxy G3 · HYPERFORMTM · Hollywood NanoMetalene · HydroFrame Coil · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · Image Guided Surgical Device · Invictus MIS · Invictus OPEN · MAGNETOS · Mariner · Mobi-C · Mozec NC PTCA Balloon · NanoMetalene Technology · Other - Miscellaneous · PICO · PICO7 · PIPELINE · PROCLAIM · Penumbra System · Pipeline · PrimaGen · RED 72 · RELINE · STENT · SUSTAIN · SYNFIX · Shoreline · Solitaire · Solus ALIF · Ventura NanoMetalene · WEB · WEB ANEURYSM EMBOLIZATION SYSTEM · WEB Aneurysm Embolization System · XLIF · ZOOM 88-T LARGE DISTAL PLATFORM · ZYFUSE
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (82%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a neurological surgery specialist in Vancouver?
Compare neurological surgerists in the Vancouver area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurological surgerists within 10 mi
89
Per 100K population
17.4
County median income
$94,948
Nearest hospital
PEACEHEALTH SOUTHWEST MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Shanno is a clinical cardiology specialist, with above-average Medicare volume (top 14% in WA), with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Shanno experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Shanno performed 79 new patient office visit (45-59 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shanno receive payments from pharmaceutical companies?
Yes. Dr. Shanno received a total of $8,491 from 30 companies across 131 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shanno's costs compare to other neurological surgerists in Vancouver?
Dr. Shanno's average Medicare payment per service is $187. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shanno) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →