SHANNON LEIGH WALLACE M.D.
NPI 1205102092
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Cleveland, OH
About Shannon Leigh Wallace M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON LEIGH WALLACE M.D. (NPI 1205102092) is an individual urogynecology and reconstructive pelvic surgery provider in Cleveland, Ohio, licensed in California (A149644) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and maintains a secondary practice location in Stanford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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 Leigh Wallace M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Akron General Medical Center
Acute Care Hospitals · Akron, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHHillcrest Hospital
Acute Care Hospitals · Mayfield Heights, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Wallace's NPI number?
The NPI number for Shannon Wallace is 1205102092. It was assigned to this individual provider in the NPPES registry on March 27, 2012.
Where is Shannon Wallace located?
Shannon Wallace practices at Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195. The listed phone number is (216) 636-8926.
What is Shannon Wallace's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.
Is Shannon Wallace enrolled in Medicare?
Yes. Shannon Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shannon Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Wallace reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Insurance Corporation of Ohio list Shannon Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shannon Wallace affiliated with any hospitals?
According to CMS data, Shannon Wallace is affiliated with Akron General Medical Center, Cleveland Clinic and Hillcrest Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Wallace was last updated on March 10, 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.
# Shannon Leigh Wallace, M.D. · NPI 1205102092
Urogynecology and Reconstructive Pelvic Surgery physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since March 27, 2012.
## Identity
- **NPI:** 1205102092 (Entity type: Individual)
- **Enumerated:** March 27, 2012
- **Primary specialty:** Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery · taxonomy 207VF0040X
- **State license:** A149644 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** CLEVELAND CLINIC 9500 EUCLID AVENUE, Cleveland, OH 44195-1705
- **Phone:** (216) 636-8926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Aurora, class of 2012
## Record status
- **NPPES last updated:** March 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205102092) · Data from the CMS NPPES public registry.