DR. SHAWN KARL MATHIAS M.D
NPI 1417163064
Internal Medicine - Cardiovascular Disease in Greenville, SC

Q: What is Shawn Mathias's NPI number?

The NPI number for Shawn Mathias is 1417163064. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Shawn Mathias's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Mathias was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 14, 2007PECOS EnrolledAccepts Medicare Assignment

2 INNOVATION DR, SUITE 400, GREENVILLE, SC 29607(864) 235-7665(864) 233-5971 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Shawn Karl Mathias M.d NPPES

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

DR. SHAWN KARL MATHIAS M.D (NPI 1417163064) is an individual cardiovascular disease provider in Greenville, South Carolina, licensed in South Carolina (34623) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Creighton University School Of Medicine (2009).

NPPES Registry Identity

NPI1417163064

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. SHAWN KARL MATHIASCredential: M.D

Location Address2 INNOVATION DR, SUITE 400Greenville, SC 29607-5261

Mailing Address2 Innovation Dr, Suite 400Greenville, SC 29607-5261 · (864) 235-7665 · Fax (864) 233-5971

Phone(864) 235-7665

Fax(864) 233-5971

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2009

Enumeration DateMay 14, 2007

Last NPPES UpdateMay 21, 2015

✔ NPI 1417163064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in SC · 34623

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5462 (NE)

2 INNOVATION DR, Greenville, SC 29607

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Other Identifiers 5

MedicaidGP4697SC

MedicaidGP0975SC

Medicare UPINAA98088157SC

Medicare PIN8768SC

Medicaid346236SC

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

Dr. Shawn Karl Mathias M.d 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 ID9234389099

PECOS Enrollment IDI20121101000500

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 Reassignments

Medicare enrollment records show Shawn Mathias reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Francis Hospital Inc

0.2 mi

Radiation Oncology

104 INNOVATION DR
Greenville, SC 29607

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

NPI 1740686591 (864) 255-1000

St. Francis Physician Services Inc

0.2 mi

Psychiatry

104 INNOVATION DR STE 2000
Greenville, SC 29607

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

NPI 1841760998 (864) 603-6300

Bon Secours Medical Group Greenville Specialty Care LLC

6.4 mi

Cardiovascular Disease

1 SAINT FRANCIS DR
Greenville, SC 29601

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

NPI 1821679580 (864) 603-6099

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 33

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,037 services918 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

704 services495 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

488 services433 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

281 services281 patients

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.

246 services138 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

169 services168 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

160 services40 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

129 services65 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

123 services42 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

120 services42 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

108 services106 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

106 services102 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

92 services91 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

86 services83 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.

80 services77 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.

75 services75 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

74 services58 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

66 services66 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

65 services65 patients

Injection, perflutren lipid microspheres, per ml Q9957

Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.

52 services26 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

46 services43 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.

41 services34 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

40 services40 patients

3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 93319

3D ultrasound imaging of the heart is a non-invasive procedure that uses sound waves to create a detailed three-dimensional image of your heart. This helps in evaluating the heart's structure, particularly for diagnosing congenital heart defects. It is safe, painless and provides valuable information about your heart health.

33 services32 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

30 services28 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.

24 services24 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

23 services23 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.

22 services22 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

16 services16 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

12 services12 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

12 services12 patients

Ultrasound of heart, follow-up 93308

12 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420023

LocationOne St Francis DrGreenville, SC 29601 · Greenville County

Emergency services Birthing friendly

Anmed Health

Acute Care Hospitals · Anderson, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420027

Location800 N Fant StAnderson, SC 29621 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

19%361 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

30%665 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

1%652 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

22%262 patients1/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

0%305 patients1/55-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 20

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

DEBRA LYN MILNE

Dietitian, Registered

2 INNOVATION DR
GREENVILLE, SC 29607

Greenville County (864) 400-3668

DR. EDWARD ALLEN STEWART D.O.

Internal Medicine (Cardiovascular Disease)

2 INNOVATION DR, SUITE 400
GREENVILLE, SC 29607

Greenville County (864) 235-7665

MICHAEL W PAYNE M.D.

Internal Medicine (Cardiovascular Disease)

2 INNOVATION DR, SUITE 400
GREENVILLE, SC 29607

Greenville County (864) 235-7665

ST FRANCIS PHYSICIAN SERVICES

Internal Medicine

2 INNOVATION DR, SUITE 180
GREENVILLE, SC 29607

Greenville County (864) 255-1800

ALEXANDRA MURANOVA MD

Psychiatry & Neurology (Neurology)

2 INNOVATION DR
GREENVILLE, SC 29607

Greenville County (864) 516-1170

LAWRENCE W FREEMAN M.D.

Internal Medicine (Cardiovascular Disease)

2 INNOVATION DR, SUITE 400
GREENVILLE, SC 29607

Greenville County (864) 235-7665

ST FRANCIS HOSPITAL INC

Clinic/Center

2 INNOVATION DR
GREENVILLE, SC 29607

Greenville County (864) 400-3600

MARY ROSEMONDE METTS

Nurse Practitioner (Family)

2 INNOVATION DR
GREENVILLE, SC 29607

Greenville County (864) 400-3680

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 Mathias's NPI number?

The NPI number for Shawn Mathias is 1417163064. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Shawn Mathias located?

Shawn Mathias practices at 2 Innovation Dr Suite 400, Greenville, SC 29607. The listed phone number is (864) 235-7665.

What is Shawn Mathias's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shawn Mathias enrolled in Medicare?

Yes. Shawn Mathias 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 organizations bill Medicare for Shawn Mathias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Mathias reassigns Medicare benefits to 3 organizations: St. Francis Hospital Inc (Greenville, SC), St. Francis Physician Services Inc (Greenville, SC) and Bon Secours Medical Group Greenville Specialty Care LLC (Greenville, SC). Each 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 Mathias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Mathias accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 3 other insurers list Shawn Mathias 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.

Is Shawn Mathias affiliated with any hospitals?

According to CMS data, Shawn Mathias is affiliated with Prisma Health Oconee Memorial Hospital, St Francis-Downtown and Anmed Health.

When was this NPI record last updated?

The NPPES record for Shawn Mathias was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.