SHANNON J POTTER M.D.
NPI 1700106853
Obstetrics & Gynecology in Bridgeton, MO

Q: What is Shannon Potter's NPI number?

The NPI number for Shannon Potter is 1700106853. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Q: What is Shannon Potter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Potter was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 10, 2010PECOS EnrolledAccepts Medicare Assignment

3466 MCKELVEY RD, BRIDGETON, MO 63044(314) 463-6950 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon J Potter M.d. NPPES

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

SHANNON J POTTER M.D. (NPI 1700106853) is an individual obstetrics & gynecology provider in Bridgeton, Missouri, licensed in Missouri (2010017998) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1700106853

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHANNON J POTTERCredential: M.D.

Location Address3466 MCKELVEY RDBridgeton, MO 63044-2533

Mailing Address660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512 · (314) 448-3791 · Fax (636) 996-7658

Phone(314) 463-6950

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2010

Enumeration DateJune 10, 2010

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1700106853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MO · 2010017998

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3466 MCKELVEY RD, Bridgeton, MO 63044

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Secondary Practice Location 1

Location 16420 Clayton Rd, Suite 291Saint Louis, MO 63117-1811 · Phone (314) 781-4772 ext. 7 · Fax (314) 645-8771

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 J Potter 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 ID8224375597

PECOS Enrollment IDI20190124000516

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

47 services47 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.

45 services34 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260104

Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 3

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

SARAH KENNEDY MD

Obstetrics & Gynecology

3466 MCKELVEY RD
BRIDGETON, MO 63044

St. Louis County (314) 344-8100

AMY CLAYTON WHNP-BC

Nurse Practitioner (Women's Health)

3466 MCKELVEY RD
BRIDGETON, MO 63044

St. Louis County (314) 344-8100

ERAN MARION HAHN II MD

Obstetrics & Gynecology

3466 MCKELVEY RD
BRIDGETON, MO 63044

St. Louis County (314) 344-8100

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 Potter's NPI number?

The NPI number for Shannon Potter is 1700106853. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Shannon Potter located?

Shannon Potter practices at 3466 Mckelvey Rd, Bridgeton, MO 63044. The listed phone number is (314) 463-6950.

What is Shannon Potter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shannon Potter enrolled in Medicare?

Yes. Shannon Potter 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.

Is Shannon Potter affiliated with any hospitals?

According to CMS data, Shannon Potter is affiliated with Mercy Hospital St Louis, Ssm Health Depaul Hospital St Louis, Missouri Baptist Medical Center, St Lukes Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Shannon Potter was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.