DR. SHANI NAJUMA GUNNING-CARTER MD
NPI 1861683450
Internal Medicine - Medical Oncology in York, PA

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
1703 INNOVATION DR STE 2001, YORK, PA 17408(717) 801-0765 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2022, Nov 12, 2020 (2 updates tracked since 2020).

About Dr. Shani Najuma Gunning-carter Md NPPES

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

DR. SHANI NAJUMA GUNNING-CARTER MD (NPI 1861683450) is an individual medical oncology provider in York, Pennsylvania, licensed in Pennsylvania (MD452203) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in Monongahela.

NPPES Registry Identity

NPI1861683450
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SHANI NAJUMA GUNNING-CARTERCredential: MD
Location Address1703 INNOVATION DR STE 2001York, PA 17408-8815
Mailing Address1703 Innovation Dr Ste 2001York, PA 17408-8815 · (717) 801-0765 · Fax (717) 801-0645
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 7, 2007
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
NPI 1861683450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in PA · MD452203
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License MD452203 (PA)
1703 INNOVATION DR STE 2001, York, PA 17408

Secondary Practice Location 1

Location 11163 Country Club Rd, Melenyzer PavilionMonongahela, PA 15063-1013 · Phone (724) 292-9404 · Fax (724) 292-9155

Other Identifiers 1

Medicaid102933110PA

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. Shani Najuma Gunning-carter Md 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 ID8729204433
PECOS Enrollment IDI20140731002362
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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
309 services92 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services130 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 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.
23 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17408 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.82
Promoting Interoperability100
Improvement Activities40
Cost28.8

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%28 patients5/55-star benchmark: 100%
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

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$69.57 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 5

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

Obstetrics & Gynecology (Gynecologic Oncology)
1703 INNOVATION DR STE 2001
YORK, PA 17408
Nurse Practitioner (Family)
1703 INNOVATION DR STE 2001
YORK, PA 17408
Internal Medicine (Medical Oncology)
1703 INNOVATION DR STE 2001
YORK, PA 17408
Physician Assistant
1703 INNOVATION DR STE 2001
YORK, PA 17408
Internal Medicine (Medical Oncology)
1703 INNOVATION DR STE 2001
YORK, PA 17408

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 Shani Gunning-carter's NPI number?

The NPI number for Shani Gunning-carter is 1861683450. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Shani Gunning-carter located?

Shani Gunning-carter practices at 1703 Innovation Dr Ste 2001, York, PA 17408. The listed phone number is (717) 801-0765.

What is Shani Gunning-carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Shani Gunning-carter enrolled in Medicare?

Yes. Shani Gunning-carter 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 Shani Gunning-carter affiliated with any hospitals?

According to CMS data, Shani Gunning-carter is affiliated with Wellspan York Hospital, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Shani Gunning-carter was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.