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Dr. Nael Shanti, MD

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(Dr. Nael Shanti, M.D.)

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Specializes in: Spine Surgery and Orthopedics/Orthopedic Surgery

St. George's University School of Medicine (2004)

Professional interests include: neck problems, minimally invasive spine surgery, back problems

851 S. Main Street
Holly Springs, NC 27540

(919) 346-8651

Dr. Nael Shanti, MD is a spine surgeon in Cary, NC specializing in spine surgery and orthopedics/orthopedic surgery. He graduated from St. George's University School of Medicine in 2004 and has 22 years of experience. Dr. Nael Shanti, MD is affiliated with UNC Health and UNC Health Medical Group.

Office Locations

UNC Health Medical Group

1110 Se Cary Parkway Suite 103
Cary, NC 27518

(919) 297-0000

(919) 232-5328

open_in_new

UNC Health Medical Group

851 S. Main Street
Holly Springs, NC 27540

(919) 346-8651

(919) 557-6084

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Noteworthy Medicare Patient Procedures Performed by Dr. Nael Shanti, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

spine X-ray

By Affordability:

decompressive laminectomy

decompressive lumbar laminectomy

laminectomy with foraminotomy and facetectomy

lumbar decompression

lumbar laminectomy

lumbar spine surgery

nerve decompression surgery

nerve procedures

nerve surgery

spinal decompression

spinal decompression surgery

spine surgery procedures

In 2023, among providers in related specialties within North Carolina, Dr. Nael Shanti, MD performed more spine X-ray procedures for Medicare patients than 95% of them and he also had a list price for decompressive laminectomy, decompressive lumbar laminectomy, facetectomy, foraminotomy, lamina procedures, laminectomy, laminectomy with foraminotomy and facetectomy, lumbar decompression, lumbar laminectomy, lumbar spine surgery, nerve decompression surgery, nerve procedures, nerve surgery, spinal decompression, spinal decompression surgery, and spine surgery procedures that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

decompression surgery

In 2023, Dr. Nael Shanti, MD had a list price for decompression surgery that was lower than the list prices billed to Medicare by 90% of providers in related specialties within North Carolina. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

X-rays

In 2012, Dr. Nael Shanti, MD performed more X-rays procedures for Medicare patients than 75% of providers in related specialties within North Carolina.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2012 were spinal procedures, nerve procedures, decompression surgery and arthrodesis (bone fusion surgery).

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

arthrodesis (bone fusion surgery)	26
decompression surgery	47
doctor visit	311
neck surgery	12
nerve procedures	47
spinal procedures	93
X-rays	14

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2013 were neurostimulator lead placement, minimally invasive procedures, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

decompression surgery	17
doctor visit	284
minimally invasive procedures	37
nerve procedures	17
neurostimulator lead placement	37
spinal procedures	17

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	66
Female	88

**Ethnicity**
Non-Hispanic White	135
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	0
85 and over	0
Less than 65	89

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2013

Hypertension	65
High Cholesterol	47
Stroke	0
Ischemic Heart Disease	32
Depression	53
Chronic Kidney Disease	19
Asthma	18
Osteoperosis	10
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	25
Diabetes	31
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2014 were rehabilitation, manual therapy, X-rays and spinal procedures.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

diagnostic evaluation	27
doctor visit	370
manual therapy	203
rehabilitation	292
spinal procedures	35
X-rays	35

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	75
Female	104

**Ethnicity**
Non-Hispanic White	146
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	45
85 and over	17
Less than 65	23

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2014

Hypertension	67
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	30
Depression	24
Chronic Kidney Disease	18
Asthma	0
Osteoperosis	11
Atrial Fibrilation	9
Heart Failure	17
Chronic Obstructive Pulmonary Disease	9
Diabetes	28
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2015 were rehabilitation, manual therapy, X-rays and spinal procedures.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

diagnostic evaluation	32
doctor visit	462
hip imaging	12
manual therapy	198
musculoskeletal imaging	12
rehabilitation	429
spinal procedures	81
X-rays	93

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	166
Female	256

**Ethnicity**
Non-Hispanic White	358
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	242
From 75 to 84	98
85 and over	42
Less than 65	40

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2015

Hypertension	68
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	29
Depression	26
Chronic Kidney Disease	23
Asthma	9
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	29
Dementia	6
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2016 were rehabilitation, spinal procedures, manual therapy and X-rays.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

decompression surgery	22
diagnostic evaluation	23
doctor visit	706
manual therapy	156
nerve procedures	22
rehabilitation	247
spinal procedures	162
X-rays	123

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	128
Female	198

**Ethnicity**
Non-Hispanic White	264
Black	35
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	171
From 75 to 84	84
85 and over	19
Less than 65	52

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2016

Hypertension	68
High Cholesterol	61
Stroke	4
Ischemic Heart Disease	31
Depression	23
Chronic Kidney Disease	25
Asthma	17
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	10
Chronic Obstructive Pulmonary Disease	14
Diabetes	33
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2017 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

decompression surgery	15
doctor visit	890
nerve procedures	15
spinal procedures	178
X-rays	163

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	142
Female	228

**Ethnicity**
Non-Hispanic White	322
Black	35
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	204
From 75 to 84	95
85 and over	28
Less than 65	43

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2017

Hypertension	68
High Cholesterol	54
Stroke	3
Ischemic Heart Disease	33
Depression	25
Chronic Kidney Disease	26
Asthma	10
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	31
Dementia	8
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2018 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

decompression surgery	17
doctor visit	921
nerve procedures	17
spinal procedures	156
X-rays	139

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	149
Female	242

**Ethnicity**
Non-Hispanic White	336
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	197
From 75 to 84	120
85 and over	28
Less than 65	46

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2018

Hypertension	68
High Cholesterol	62
Stroke	4
Ischemic Heart Disease	35
Depression	24
Chronic Kidney Disease	28
Asthma	8
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	29
Dementia	7
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2019 were X-rays and spinal procedures.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

doctor visit	887
spinal procedures	180
X-rays	180

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	180
Female	250

**Ethnicity**
Non-Hispanic White	375
Black	27
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	232
From 75 to 84	122
85 and over	32
Less than 65	44

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2019

Hypertension	64
High Cholesterol	63
Stroke	3
Ischemic Heart Disease	32
Depression	26
Chronic Kidney Disease	30
Asthma	8
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	14
Diabetes	26
Dementia	6
Cancer	12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2020 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

decompression surgery	21
doctor visit	715
nerve procedures	21
spinal procedures	168
X-rays	147

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	165
Female	204

**Ethnicity**
Non-Hispanic White	320
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	184
From 75 to 84	111
85 and over	26
Less than 65	48

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2020

Hypertension	64
High Cholesterol	65
Stroke	3
Ischemic Heart Disease	28
Depression	27
Chronic Kidney Disease	25
Asthma	9
Osteoperosis	11
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	14
Diabetes	24
Dementia	5
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2021 were X-rays and spinal procedures.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

doctor visit	818
spinal procedures	217
X-rays	217

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	169
Female	233

**Ethnicity**
Non-Hispanic White	348
Black	31
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	193
From 75 to 84	151
85 and over	21
Less than 65	37

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2021

Hypertension	61
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	30
Depression	26
Chronic Kidney Disease	27
Asthma	6
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	28
Dementia	8
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC during 2022 were X-rays and spinal procedures.

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

doctor visit	866
spinal procedures	273
X-rays	273

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Male	154
Female	297

**Ethnicity**
Non-Hispanic White	376
Black	32
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	221
From 75 to 84	164
85 and over	32
Less than 65	34

Conditions of Medicare patients treated by Dr. Nael Shanti, MD in 2022

Hypertension	71
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	23
Depression	21
Chronic Kidney Disease	16
Asthma	10
Osteoperosis	15
Atrial Fibrilation	11
Heart Failure	9
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Dementia	4
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Nael Shanti, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nael Shanti, MD treated as a spine surgeon in Cary, NC were rehabilitation, manual therapy, spinal procedures and X-rays.

arthrodesis (bone fusion surgery)	26
decompression surgery	23
diagnostic evaluation	27
doctor visit	657
hip imaging	12
manual therapy	185
minimally invasive procedures	37
musculoskeletal imaging	12
neck surgery	12
nerve procedures	23
neurostimulator lead placement	37
rehabilitation	322
spinal procedures	141
X-rays	138

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Nael Shanti, MD.

**Gender**
Female	190
Male	126

**Ethnicity**
Black / African American	25
Asian / Pacific Islander	0
Non-Hispanic White	270
Native American / Alaskan Native	0
Hispanic	1
Other	2

**Age**
85 and over	22
75 to 84	90
Less than 65	41
65 to 74	162

Average of Total of Conditions of Medicare patients treated by Dr. Nael Shanti, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Nael Shanti, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	60
High Cholesterol	55
Stroke	2
Ischemic Heart Disease	27
Depression	25
Chronic Kidney Disease	21
Asthma	8
Osteoporosis	9
Heart Failure	11
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Atrial Fibrillation	8
Dementia	5
Cancer	9

Education & Training

Dr. Nael Shanti, MD graduated from St. George's University School of Medicine in 2004. He is certified by the Orthopaedic Surgery, Board Certified and has a state license in Kentucky.

Medical School: St. George's University School of Medicine (2004)

Board Certification: Orthopaedic Surgery, Board Certified (2012)

Licensed In: Kentucky

Affiliations & Hospitals

Dr. Nael Shanti, MD is associated with these hospitals and organizations:

UNC Health

UNC Health Medical Group

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Nael Shanti, MD appears to accept the following insurance providers: WellCare, Medicare Advantage, AmeriHealth, United Healthcare, Medicaid, Cigna, CHAMPVA, Centene, Group Health Plan (GHP), MedCost PPO, FirstCarolinaCare Insurance Company Group Health Plans, North Carolina State Health Plan, Atlantic (Packaging) Corporation, Inc. (administered by Lucent Health), BCBSNC Blue Home with UNC Health Alliance (Blue Home with Novant Health is out of network), FirstCarolinaCare FirstMedicare Direct, Contigo Health Plan (WakeMed employees only) (out-of-network beginning January 1, 2026), Aetna Premier Care Network Plus (APCN+) (Tier 2), BCBSNC Group Health Plans (except for Blue High Performance Network (BlueHPN)), Aetna Whole Health (Tier 2), Meritain Health, an Aetna Company, Longevity Health Plan I-SNP and Veterans Affairs Community Care Network.

Insurance Accepted by Provider includes:

According to our sources, Dr. Nael Shanti, MD accepts the following insurance providers:

WellCare

Medicare Advantage

AmeriHealth

United Healthcare

Medicaid

Cigna

CHAMPVA

Centene

Group Health Plan (GHP)

MedCost PPO

FirstCarolinaCare Insurance Company Group Health Plans

North Carolina State Health Plan

Atlantic (Packaging) Corporation, Inc. (administered by Lucent Health)

BCBSNC Blue Home with UNC Health Alliance (Blue Home with Novant Health is out of network)

FirstCarolinaCare FirstMedicare Direct

Contigo Health Plan (WakeMed employees only) (out-of-network beginning January 1, 2026)

Aetna Premier Care Network Plus (APCN+) (Tier 2)

BCBSNC Group Health Plans (except for Blue High Performance Network (BlueHPN))

Aetna Whole Health (Tier 2)

Meritain Health, an Aetna Company

Longevity Health Plan I-SNP

Veterans Affairs Community Care Network

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General Payments

These charts describe general payments received by Dr. Nael Shanti, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Precision Spine, Inc.	$38,695 SURE-LOK PERCUTANEOUS PEDICLE SCREW SYSTEM $13,905	S-Lok Percutaneous Screw System $6,522	Triple Lead MIS $3,750	Modular Screw $3,500	MIS $2,000	Other $9,018
Globus Medical, Inc.	$6,262 Spine $6,262
Medtronic USA, Inc.	$2,025 O-ARM-ST $1,148	CD HORIZON $298	O-ARM-Spine $125	CAPSTONE $72	ATLANTIS $68	Other $313
Amendia, Inc.	$1,516 Spinal Implant $1,345	Spine Implant $46	$125
Providence Medical Technology, Inc.	$1,154 DTRAX Spinal System $603	BIOLOGIX Allograft Bone $551
Other	$3,279 Spinal Implant $1,041	iFuse Implant $249	Spine $207	Thoracolumbar Therapies $183	AMRIX $153	Other $1,445

**Types of Payments**
Consulting Fee	$35,455
Royalty or License	$7,522
Food and Beverage	$6,580
Travel and Lodging	$3,308
Entertainment	$46
Other	$21

Biography

Dr. Nael Shanti is a spine surgery and orthopedics/orthopedic surgery specialist. Dr. Shanti graduated from St. George's University School of Medicine. In his practice, he is particularly interested in minimally invasive spine surgery, neck problems, and back problems. Coventry, Cigna, and Centene appears to be the insurance carriers that Dr. Shanti takes. Dr. Shanti is affiliated with UNC Health. UNC Health reports that he is accepting new patients at his office in Cary, NC.