Vaccination against meningococcal serogroup B (MenB) is recommended by the Advisory Committee on Immunization Practices (ACIP) for healthy 16–23-year-olds (16–18-year-olds preferred) under shared clinical decision making (SCDM) between patients/parents and providers. This study assessed how physicians communicate with patients/parents regarding meningococcal vaccinations, aiming to identify barriers to the implementation of SCDM.