Medicare Enrolled

Dr. George Shanno, M.D.

Neurological Surgery · Vancouver, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
200 NE MOTHER JOSEPH PL, Vancouver, WA 98664
3602546161
Registered in NPPES since 2006
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 →
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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 in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Shanno received a total of $8,491 from 30 pharmaceutical and/or device companies across 131 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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 of NPI registration ▲ Top 14% volume in WA $8,491 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
454
Medicare services
Top 14% in WA for neurological surgery
Not available
Unique patients (not deduplicated)
$187
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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. These counts do not measure clinical quality or years of experience.
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
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

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)

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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
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 in nearby ZIP areas
89
County median income
$94,948
Nearest hospital to ZIP centroid (approximate)
PEACEHEALTH SOUTHWEST MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Shanno receive payments from pharmaceutical companies?
Yes. Dr. Shanno received a total of $8,491 from 30 companies across 131 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →