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DR. SHANNON LEIGH CARPENTER M.D.
NPI 1770727836
Family Medicine in Saint Albans, WV

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
12 KANAWHA TER, SAINT ALBANS, WV 25177(304) 201-1130(304) 201-1134 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2018, Jul 3, 2018, Dec 17, 2015 (3 updates tracked since 2015).

About Dr. Shannon Leigh Carpenter M.d. NPPES

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

DR. SHANNON LEIGH CARPENTER M.D. (NPI 1770727836) is an individual family medicine provider in Saint Albans, West Virginia, licensed in West Virginia (24882) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1770727836
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON LEIGH CARPENTERCredential: M.D.
Location Address12 KANAWHA TERSaint Albans, WV 25177
Mailing Address3200 Maccorkle Ave Se, Suite B16Charleston, WV 25304 · (304) 388-5848 · Fax (304) 388-9654
Phone(304) 201-1130
Fax(304) 201-1134
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2009
Enumeration DateApril 20, 2009
Last NPPES UpdateAugust 3, 20183 updates tracked since enumeration
✔ NPI 1770727836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 24882
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 24882 (WV)
12 KANAWHA TER, Saint Albans, WV 25177
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Secondary Practice Location 1

Location 13200 MacCorkle Ave SE, Suite 502Charleston, WV 25304-1227 · Phone (304) 388-5848 · Fax (304) 388-9654

Other Identifiers 1

Medicaid3810024872WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Shannon Leigh Carpenter 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 ID2365693439
PECOS Enrollment IDI20121119000554
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25177 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,452 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
60%304 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%211 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%411 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%411 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%411 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%411 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$34.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
9 suppliers77 claims77 services$16.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
10 suppliers90 claims90 services$81.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAVID SCOTT WATKINS PA-C
Physician Assistant (Medical)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 757-6999
ERNEST RICHARD TONSKI MD
Internal Medicine
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 727-7711
JENNIFER LYNN RANSON FNP-BC
Nurse Practitioner (Family)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 201-1130
INTEGRATED HEALTH CARE PROVIDERS, INC.
Emergency Medicine
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 727-7711
MR. FRANCIS SCOTT HUNTER MD
Obstetrics & Gynecology
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 201-1130
MRS. KIMBERLY T. LOUGH DDS, MS
Dentist (Pediatric Dentistry)
12 KANAWHA TER, SUITE B
SAINT ALBANS, WV 25177
Kanawha County (304) 722-7221
SARAH SMITH
Counselor (Professional)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 201-1130
TAWNA FARLEY WHITE APRN, FNP-C
Nurse Practitioner (Family)
12 KANAWHA TER
SAINT ALBANS, WV 25177
Kanawha County (304) 757-6999

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 Carpenter's NPI number?

The NPI number for Shannon Carpenter is 1770727836. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Shannon Carpenter located?

Shannon Carpenter practices at 12 Kanawha Ter, Saint Albans, WV 25177. The listed phone number is (304) 201-1130.

What is Shannon Carpenter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Carpenter enrolled in Medicare?

Yes. Shannon Carpenter 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 Carpenter accept?

Health plans from CareSource list Shannon Carpenter 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 Carpenter affiliated with any hospitals?

According to CMS data, Shannon Carpenter is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Carpenter was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.