MR. SHAWN R CULEY MD
NPI 1063480390
Family Medicine in Sioux Falls, SD
About Mr. Shawn R Culey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHAWN R CULEY MD (NPI 1063480390) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (3579) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Mr. Shawn R Culey 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Culey's NPI number?
The NPI number for Shawn Culey is 1063480390. It was assigned to this individual provider in the NPPES registry on March 11, 2006.
Where is Shawn Culey located?
Shawn Culey practices at 4011 W Benson Rd, Sioux Falls, SD 57107. The listed phone number is (605) 322-1500.
What is Shawn Culey's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shawn Culey enrolled in Medicare?
Yes. Shawn Culey 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.
What insurance does Shawn Culey accept?
Health plans from Medica list Shawn Culey 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 Culey was last updated on November 9, 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.
# Mr. Shawn R Culey, MD · NPI 1063480390
Family Medicine physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since March 11, 2006.
## Identity
- **NPI:** 1063480390 (Entity type: Individual)
- **Enumerated:** March 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 3579 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4011 W BENSON RD, Sioux Falls, SD 57107-0104
- **Phone:** (605) 322-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 1989
## Record status
- **NPPES last updated:** November 9, 2020
- **Other identifiers:** Medicaid 5609089 (SD); Other S102518 (SD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1063480390) · Data from the CMS NPPES public registry.