DR. SHAWN F RILEY MD
NPI 1003873894
Ophthalmology in Myrtle Beach, SC

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1115 48TH AVE N, SUITE 121, MYRTLE BEACH, SC 29577(843) 449-6478(843) 497-8571 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shawn F Riley Md NPPES

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

DR. SHAWN F RILEY MD (NPI 1003873894) is an individual ophthalmology provider in Myrtle Beach, South Carolina, licensed in South Carolina (17005) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1988).

NPPES Registry Identity

NPI1003873894
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHAWN F RILEYCredential: MD
Location Address1115 48TH AVE N, SUITE 121Myrtle Beach, SC 29577
Mailing Address3781 Hopsewee Dr, Plantation PointMyrtle Beach, SC 29577 · (843) 444-9224
Fax(843) 497-8571
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1988
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 31, 2007
✔ NPI 1003873894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in SC · 17005✔ Licensed in NC · 9300575
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1115 48TH AVE N, Myrtle Beach, SC 29577

Other Identifiers 2

Medicare PIN2337591NC
Medicare UPINF43253SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shawn F Riley 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 ID6305830241
PECOS Enrollment IDI20040413000825, I20040429001285
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.

Medicare Billing Reassignment

Medicare enrollment records show Shawn Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
1115 48TH AVE N STE 121
Myrtle Beach, SC 29577
  • Reassigned Medicare billing, South Carolina and North Carolina enrollments
  • Also billed through NPI 1760661235 (North Carolina)

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
2,640 services1,235 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
427 services377 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
418 services385 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
344 services136 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
196 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
158 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29577 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Shawn Riley's NPI number?

The NPI number for Shawn Riley is 1003873894. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Shawn Riley located?

Shawn Riley practices at 1115 48th Ave N Suite 121, Myrtle Beach, SC 29577. The listed phone number is (843) 449-6478.

What is Shawn Riley's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shawn Riley enrolled in Medicare?

Yes. Shawn Riley 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.

Which organization bills Medicare for Shawn Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Riley reassigns Medicare benefits to Specialty Eye Care Of The Carolinas, PC (Myrtle Beach, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Riley accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and UnitedHealthcare list Shawn Riley 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 Shawn Riley was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.