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SHANNON POPLSTEIN MAYBERRY PA-C
NPI 1770848400
Physician Assistant in Durham, NC

Active since July 09, 2012PECOS Enrolled
3711 UNIVERSITY DR, DURHAM, NC 27707(919) 752-4028 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2020, Mar 18, 2020, Oct 1, 2019 (3 updates tracked since 2019).

About Shannon Poplstein Mayberry Pa-c NPPES

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

SHANNON POPLSTEIN MAYBERRY PA-C (NPI 1770848400) is an individual physician assistant in Durham, North Carolina, licensed in North Carolina (0010-03634) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Morrisville.

NPPES Registry Identity

NPI1770848400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON POPLSTEIN MAYBERRYCredential: PA-C
Location Address3711 UNIVERSITY DRDurham, NC 27707-2654
Mailing Address7 Pegram CtDurham, NC 27703-7970 · (540) 761-8091
Phone(919) 752-4028
Sole ProprietorNo
Enumeration DateJuly 9, 2012
Last NPPES UpdateOctober 14, 20203 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1770848400 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 NC · 0010-03634
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.
3711 UNIVERSITY DR, Durham, NC 27707
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Secondary Practice Location 1

Location 13528 Davis DrMorrisville, NC 27560-8819 · Phone (919) 234-6016 · Fax (919) 650-2647

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Poplstein Mayberry Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%22 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.
69%36 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%23 patients5/55-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…
81%36 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…
36%36 patients2/55-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.
31%36 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.

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.

SECURING RESOURCES FOR CONSUME
Psychiatry & Neurology (Psychiatry)
3711 UNIVERSITY DR, STE C
DURHAM, NC 27707
Durham County (919) 405-2700
SRFC, INC.
Community/Behavioral Health
3711 UNIVERSITY DR, STE C
DURHAM, NC 27707
Durham County (919) 405-2700
MIGDALIA ACEVEDO LCSWA
Social Worker (Clinical)
3711 UNIVERSITY DR, SUITE C
DURHAM, NC 27707
Durham County (919) 405-2700
SECURING RESOURCES FOR CONSUMERS, INC.
Community/Behavioral Health
3711 UNIVERSITY DR, SUITE C
DURHAM, NC 27707
Durham County (919) 405-2700
SECURING RESOURCES FOR CONSUME
Social Worker (Clinical)
3711 UNIVERSITY DR, STE C
DURHAM, NC 27707
Durham County (919) 405-2700
SOIN SOLUTIONS, PLLC
Community/Behavioral Health
3711 UNIVERSITY DR, SUITE 104B
DURHAM, NC 27707
Durham County (919) 816-6704
COMMUNITY CHOICES, LLC
Community/Behavioral Health
3711 UNIVERSITY DR, SUITE C
DURHAM, NC 27707
Durham County (919) 210-3774

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 Mayberry's NPI number?

The NPI number for Shannon Mayberry is 1770848400. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Shannon Mayberry located?

Shannon Mayberry practices at 3711 University Dr, Durham, NC 27707. The listed phone number is (919) 752-4028.

What is Shannon Mayberry's specialty?

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

Is Shannon Mayberry enrolled in Medicare?

Yes. Shannon Mayberry is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Mayberry accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Shannon Mayberry 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 Mayberry was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.