SHANNON BUCK PA-C
NPI 1497598965
Physician Assistant in Summerville, SC

Q: What is Shannon Buck's NPI number?

The NPI number for Shannon Buck is 1497598965. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Q: What is Shannon Buck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Buck was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 June 13, 2024PECOS EnrolledAccepts Medicare Assignment

1101 OLD TROLLEY RD STE 300, SUMMERVILLE, SC 29485(843) 376-2670 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jun 25, 2025, Jun 12, 2025, Jul 25, 2024 and 1 more (4 updates tracked since 2024).

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About Shannon Buck Pa-c NPPES

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

SHANNON BUCK PA-C (NPI 1497598965) is an individual physician assistant in Summerville, South Carolina, licensed in South Carolina (5250) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1497598965

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNON BUCKCredential: PA-C

Location Address1101 OLD TROLLEY RD STE 300Summerville, SC 29485-5294

Mailing AddressPo Box 530062Atlanta, GA 30353-0062

Phone(843) 376-2670

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 13, 2024

Last NPPES UpdateJuly 21, 20254 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1497598965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 5250

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1101 OLD TROLLEY RD STE 300, Summerville, SC 29485

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Secondary Practice Location 1

Location 1669 Marina Dr Ste A2Charleston, SC 29492-7573 · Phone (843) 491-9955

Other Identifiers 1

Medicaid8121PASC

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 Buck Pa-c 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 ID2466978606

PECOS Enrollment IDI20250430001409

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.

Hospital Affiliations CMS Care Compare 2

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420110

Location300 Callen BlvdSummerville, SC 29486 · Dorchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 7

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

ALISON PAIGE BULL P.A.

Physician Assistant