Physician Profile

Shannon Q. Detty, M.D.

Unclaimed Profile

About Dr. Detty

Shannon Q. Detty, M.D. practices dermatology in Boulder, CO. Shannon is a 2012 graduate of Creighton University School of Medicine. Medicare claims data shows Shannon provided 2,296 services to 1,223 patients. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and destruction of precancer skin growth, 1 growth.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Dermatology (Primary)
Dermatology (Additional)

Credentials & Licensing

WI license6600-851
WI license70147
NPI1790149763
NPI issued04/06/2016

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Shannon Q. Detty?

Shannon Q. Detty is a dermatologist (skin doctor) in Boulder, CO. That is the designation recorded for this NPI in the federal registry, where it is listed as “Dermatology”.

NPI registry

What is Shannon Q. Detty's address?

Shannon Q. Detty is listed at 2880 Folsom St Ste 200, Boulder, CO 80304. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Shannon Q. Detty?

The number on file is (303) 442-6647. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Shannon Q. Detty?

Shannon Q. Detty's National Provider Identifier is 1790149763. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Shannon Q. Detty train?

Shannon Q. Detty attended Creighton University School of Medicine, graduating in 2012. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Shannon Q. Detty have?

Shannon Q. Detty has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.

CMS public data

What procedures does Shannon Q. Detty perform?

According to Medicare billing data, Shannon Q. Detty performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and biopsy of related skin growth, first growth, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Shannon Q. Detty's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Shannon Q. Detty. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.