SHANNON M. CARRUTHERS M.D.
NPI 1437438611
Pediatrics in Sioux Falls, SD
About Shannon M. Carruthers M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON M. CARRUTHERS M.D. (NPI 1437438611) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (#9303) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon M. Carruthers M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Carruthers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57103
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Carruthers's NPI number?
The NPI number for Shannon Carruthers is 1437438611. It was assigned to this individual provider in the NPPES registry on August 5, 2011.
Where is Shannon Carruthers located?
Shannon Carruthers practices at 4405 E. 26th St., Sioux Falls, SD 57103. The listed phone number is (605) 328-9080.
What is Shannon Carruthers's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shannon Carruthers enrolled in Medicare?
Yes. Shannon Carruthers is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Carruthers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Carruthers reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each 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 Carruthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Carruthers accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Shannon Carruthers 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.
When was this NPI record last updated?
The NPPES record for Shannon Carruthers was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 M. Carruthers, M.D. · NPI 1437438611
Pediatrics physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since August 5, 2011.
## Identity
- **NPI:** 1437438611 (Entity type: Individual)
- **Enumerated:** August 5, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** #9303 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4405 E. 26TH ST., Sioux Falls, SD 57103
- **Phone:** (605) 328-9080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1245248764, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1437438611) · Data from the CMS NPPES public registry.