Shannon L. Tilly, MD
Obstetrics & Gynecology Physician · Salt Lake City, UT
Shannon L. Tilly, MD is an obstetrics & gynecology physician with a practice address in Salt Lake City, Utah, and NPI 1093767196, issued on May 17, 2006. Check the license (Utah 54125001205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Shannon L. Tilly
- Credential
- MD
- Primary taxonomy
- Obstetrics & Gynecology Physician 207V00000X
- License number
- 54125001205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1525 W 2100 S, Salt Lake City, UT 84119
- Phone
- (801) 213-9900
- Enumerated
- May 17, 2006
- Record last updated
- Aug 10, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20070208000131); accepts Medicare assignment
- Medical or professional school
- University Of Colorado School Of Medicine, Denver, 2002
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest obstetrics & gynecology physician records → All 386 in Utah → Look up another NPI →
Also registered at 1525 W 2100 S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ghaida Al-Barzinji, PA-CMedical Physician Assistant1356889703
- Laura Anderson, MDSports Medicine (Family Medicine) Physician1740270867
- Shandi Beckwith, ODOptometrist1457926289
- Clarivette Bosch, MDFamily Medicine Physician1245320860
- Scott Brown, PAPhysician Assistant1710360078
- Brooke Bunkall, APRNFamily Nurse Practitioner1649944646
Verify Shannon L. Tilly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 54125001205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
67% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024
54 Medicare Part D claims for 25 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Ihc Health Services IncSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon L. Tilly among 386 obstetrics & gynecology physician records in Utah
Shannon L. Tilly, MD is one of 386 obstetrics & gynecology physician records with a practice address in Utah. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 55% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2002 · median 2008 among the 223 with a school on file
- Record last updated2021 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Obstetrics & Gynecology Physician providers in Utah
There are 386 obstetrics & gynecology physician records in Utah.
All 386 in Utah → Every provider in Salt Lake City → Obstetrics & Gynecology Physician nationwide →
The 8 obstetrics & gynecology physician records with the nearest ZIP codes
- Anne Avni, MDSalt Lake City, UT 841191326507005
- Keri Gibson, MDSalt Lake City, UT 841191457548430
- Steven Dinger, MDWest Valley City, UT 841201770514168
- Maria Gonzalez Ferrua, MDWest Valley City, UT 841201427549435
- Virginia Homewood, MDSalt Lake City, UT 841201003072216
- David Isaac, M.D.West Valley City, UT 841201124133913
- Daniel Kaelberer, MDTaylorsville, UT 841181376656264
- Antoinette Kitch, DOWest Valley City, UT 841201033678800
Common questions
What is Shannon L. Tilly, MD's NPI number?
Shannon L. Tilly, MD's National Provider Identifier (NPI) is 1093767196, issued on May 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shannon L. Tilly, MD located?
The NPPES record lists a practice address at 1525 W 2100 S, Salt Lake City, UT, 84119. Phone: (801) 213-9900. Providers update this record themselves, so call before visiting.
How can I verify Shannon L. Tilly, MD's license?
NPPES lists Utah license number 54125001205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shannon L. Tilly, MD prescribe under Medicare Part D?
In 2024, Shannon L. Tilly, MD had 54 Medicare Part D claims for 25 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.