Shannon Petukhov, MD
NPI 1427402627ActiveIndividual· Emergency Medicine· Annapolis, MD
Emergency Medicine (MD) in Annapolis, Maryland, trained at University of Maryland School of Medicine (class of 2015). 357 Medicare patients in 2024, $51,786 paid; nearly all of their 91 Part D prescriptions were generic (95%).
Overview
| NPI | 1427402627 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 14, 2016 |
| Last updated in NPPES | Feb 6, 2020 |
| Certified by provider | Feb 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | D0087812 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (DC); Practitioner - Emergency Medicine (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 357 |
|---|---|
| Services billed | 381 across 13 procedure codes |
| Paid by Medicare | $51,786 |
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 93 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $748.05 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Maryland School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Emergency Medicine |
Medical group
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncLargo, MD · 1,899 clinicians
Hospital affiliation
- Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 emergency medicine physicians in Annapolis · All emergency medicine physicians in Maryland