KEVIN W SHEA MD
NPI 1265474324
Internal Medicine - Infectious Disease in Myrtle Beach, SC

Q: What is Kevin Shea's NPI number?

The NPI number for Kevin Shea is 1265474324. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Kevin Shea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Shea was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572(843) 236-1950(843) 236-1952 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 1, 2022, Feb 22, 2020, Oct 28, 2019 (3 updates tracked since 2019).

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About Kevin W Shea Md NPPES

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

KEVIN W SHEA MD (NPI 1265474324) is an individual infectious disease provider in Myrtle Beach, South Carolina, licensed in South Carolina (18455) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of State University Of New York - State College Optometry (1991).

NPPES Registry Identity

NPI1265474324

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameKEVIN W SHEACredential: MD

Location Address920 DOUG WHITE DR STE 250Myrtle Beach, SC 29572-4181

Mailing Address920 Doug White Dr Ste 250Myrtle Beach, SC 29572-4181 · (843) 236-1950 · Fax (843) 236-1952

Phone(843) 236-1950

Fax(843) 236-1952

Sole ProprietorNo

Medical School CMSState University Of New York - State College OptometryGraduated 1991

Enumeration DateJune 12, 2006

Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2020

✔ NPI 1265474324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in SC · 18455

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

920 DOUG WHITE DR STE 250, Myrtle Beach, SC 29572

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Other Identifiers 3

Other440001329SC · Railroad Medicare

Medicaid790646CNC

Medicaid184552SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Kevin W Shea 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 ID2466542733

PECOS Enrollment IDI20091229000045

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 Kevin Shea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Carolina Primary Care, LLC

7.8 mi

Endocrinology, Diabetes & Metabolism

920 DOUG WHITE DR STE 250
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
33 clinicians in this Medicare group

NPI 1821257676 (843) 236-1950

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

325 services112 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.

117 services109 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.

75 services42 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

47 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

91%58 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%65 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.

Other Providers at the Same Location NPPES 14

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

ANDREW PETER MANGANO DO

Internal Medicine