SHANNON MITCHELL ST CLAIR MD
NPI 1003073396
Nuclear Medicine - Nuclear Cardiology in Winston Salem, NC

Q: What is Shannon St Clair's NPI number?

The NPI number for Shannon St Clair is 1003073396. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Shannon St Clair's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Q: When was this NPI record last updated?

The NPPES record for Shannon St Clair was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment

186 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 277-2000(336) 277-2050 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2020, Mar 26, 2018 (2 updates tracked since 2018).

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About Shannon Mitchell St Clair Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MITCHELL ST CLAIR MD (NPI 1003073396) is an individual nuclear cardiology provider in Winston Salem, North Carolina, licensed in North Carolina (2009-00666) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of West Virginia University School Of Medicine (2006).

NPPES Registry Identity

NPI1003073396

Entity TypeIndividualMale

Primary Taxonomy207UN0901X

Provider Legal NameSHANNON MITCHELL ST CLAIRCredential: MD

Location Address186 KIMEL PARK DRWinston Salem, NC 27103-6946

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-2000 · Fax (336) 277-2050

Phone(336) 277-2000

Fax(336) 277-2050

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2006

Enumeration DateMay 22, 2008

Last NPPES UpdateOctober 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1003073396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207UN0901X

License✔ Licensed in NC · 2009-00666

Definition

A nuclear medicine physician who specializes in nuclear cardiology.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2009-00666 (NC)

186 KIMEL PARK DR, Winston Salem, NC 27103

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Other Identifiers 1

Medicaid5921382NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Mitchell St Clair Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668620402

PECOS Enrollment IDI20120919000680

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Shannon St Clair reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Memorial Hospital Inc

Same address

Cardiovascular Disease

186 KIMEL PARK DR
Winston Salem, NC 27103

Reassigned Medicare billing, North Carolina enrollment
1,202 clinicians in this Medicare group

NPI 1114200771 (336) 277-2000

Novant Health Medical Group, LLC

0.1 mi

Urogynecology and Reconstructive Pelvic Surgery

770 HIGHLAND OAKS DR, SUITE 100
Winston Salem, NC 27103

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1972106268 (North Carolina)
2,998 clinicians in this Medicare group

NPI 1497119283 (336) 718-1970

Medical Park Hospital LLC

1.5 mi

Specialist

1950 S HAWTHORNE RD
Winston-salem, NC 27103

Reassigned Medicare billing, North Carolina enrollment
579 clinicians in this Medicare group

NPI 1003867516 (336) 718-0600

The Presbyterian Hospital

47 mi

Hematology & Oncology

170 MEDICAL PARK RD STE 101
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
926 clinicians in this Medicare group

NPI 1477050698 (980) 302-7070

Novant Health Mint Hill Medical Center, LLC

61 mi

Nurse Anesthetist, Certified Registered

8201 HEALTHCARE LOOP
Charlotte, NC 28215

Reassigned Medicare billing, North Carolina enrollment
703 clinicians in this Medicare group

NPI 1063910404 (980) 302-1000

Novant Health Ballantyne Medical Center LLC

77 mi

Nurse Anesthetist, Certified Registered

10905 PROVIDENCE RD W
Charlotte, NC 28277

Reassigned Medicare billing, North Carolina enrollment
422 clinicians in this Medicare group

NPI 1760190607 (980) 488-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

442 services362 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

193 services193 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

131 services129 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

111 services102 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

95 services95 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

95 services95 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

95 services95 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services65 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

64 services60 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

50 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

50 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services31 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

31 services31 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

29 services29 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

29 services29 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

24 services24 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

21 services21 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

21 services21 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

21 services21 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

19 services19 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

17 services17 patients

Heart muscle strain imaging 93356

14 services14 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

12 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

11 services11 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340003

Location830 Rockford StMount Airy, NC 27030 · Surry County

Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340085

Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County

Emergency services Birthing friendly

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340148

Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341325

Location200 Hospital AveJefferson, NC 28640 · Ashe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

91%164 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

68%286 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

39%302 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

64%108 patients3/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

2%135 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAMAL HANEE HENDERSON MD

Internal Medicine (Cardiovascular Disease)