SHANNON LEIGH WALLACE M.D.
NPI 1205102092
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Cleveland, OH

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
CLEVELAND CLINIC 9500 EUCLID AVENUE, CLEVELAND, OH 44195(216) 636-8926 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Cleveland Clinic, and maintains a secondary practice location in Stanford.

NPPES Registry Identity

NPI1205102092
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameSHANNON LEIGH WALLACECredential: M.D.
Location AddressCLEVELAND CLINIC 9500 EUCLID AVENUECleveland, OH 44195-1705
Mailing Address1470 Franks LnMenlo Park, CA 94025-5960 · (303) 880-7809
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
NPI 1205102092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in CA · A149644
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
CLEVELAND CLINIC 9500 EUCLID AVENUE, Cleveland, OH 44195

Secondary Practice Location 1

Location 1300 Pasteur Dr # S285Stanford, CA 94305-2200 · Phone (650) 497-8753

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1557655396
PECOS Enrollment IDI20200930003182
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.

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.

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.
25 services24 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.
24 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 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.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician 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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Physical Therapist
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Radiology (Vascular & Interventional Radiology)
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Urology
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Thoracic Surgery (Cardiothoracic Vascular Surgery)
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Ophthalmology
CLEVELAND CLINIC 9500 EUCLID AVENUE
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.

What insurance does Shannon Wallace accept?

Health plans from 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 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.