1. Home
  2. Directory
  3. Kentucky
  4. Beaver Dam
  5. Family Medicine
  6. NPI Profile

SHANE THOMAS NAPIER DO
NPI 1457655730
Family Medicine in Beaver Dam, KY

Active since December 31, 2010PECOS EnrolledAccepts Medicare Assignment
1219 N MAIN ST, BEAVER DAM, KY 42320(270) 274-1800(270) 274-5600 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2018, Jan 25, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Shane Thomas Napier Do NPPES

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

SHANE THOMAS NAPIER DO (NPI 1457655730) is an individual family medicine provider in Beaver Dam, Kentucky, licensed in Kentucky (03486) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with Ohio County Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457655730
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHANE THOMAS NAPIERCredential: DO
Location Address1219 N MAIN STBeaver Dam, KY 42320
Mailing Address1219 N Main StBeaver Dam, KY 42320-8955 · (270) 274-1800 · Fax (270) 274-5600
Phone(270) 274-1800
Fax(270) 274-5600
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2004
Enumeration DateDecember 31, 2010
Last NPPES UpdateJune 14, 20183 updates tracked since enumeration
✔ NPI 1457655730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 03486✔ Licensed in OH · 58003868
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1219 N MAIN ST, Beaver Dam, KY 42320
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1480 Hopkinsville StGreenville, KY 42345-1124 · Phone (270) 338-5777 · Fax (270) 338-5765
Location 21219 N Main St Ste 101Beaver Dam, KY 42320-8955 · Phone (270) 274-1800 · Fax (270) 274-5600

Other Identifiers 2

Other61-0445841KY · Humana
Medicaid7100230740KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Shane Thomas Napier Do 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 ID5799937835
PECOS Enrollment IDI20121218000322
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.

Areas of Expertise CMS Part B claims 6

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,243 services333 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
382 services328 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
324 services47 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.
195 services33 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
103 services103 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients

Hospital Affiliations CMS Care Compare

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

Ohio County Hospital

Critical Access Hospitals · Hartford, KY
OwnershipProprietary
CMS Certification Number181323
Location1211 Old Main StreetHartford, KY 42347 · Ohio County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42320 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Reported Quality Measures

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…
100%61 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers12 claims24 services$60.53 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers43 claims43 services$62.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$21.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$118.66 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers59 claims59 services$20.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NORSWORTHY MEDICAL ASSOCIATES PSC
Family Medicine
1219 N MAIN ST
BEAVER DAM, KY 42320
Ohio County (270) 274-1800
NORSWORTHY MEDICAL ASSOC., PSC NURSE PRACTITIONER GROUP
Nurse Practitioner
1219 N MAIN ST
BEAVER DAM, KY 42320
Ohio County (270) 274-1800
FYI HEALTHCARE CLINIC, PLLC
Nurse Practitioner (Family)
1219 N MAIN ST, SUITE 101
BEAVER DAM, KY 42320
Ohio County (270) 274-0638
TARIQ K MALIK M.D.
Internal Medicine (Addiction Medicine)
1219 N MAIN ST
BEAVER DAM, KY 42320
Ohio County (270) 274-1800
DR. ERIC A. NORSWORTHY MD
Family Medicine
1219 N MAIN ST
BEAVER DAM, KY 42320
Ohio County (270) 274-1800

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 Shane Napier's NPI number?

The NPI number for Shane Napier is 1457655730. It was assigned to this individual provider in the NPPES registry on December 31, 2010.

Where is Shane Napier located?

Shane Napier practices at 1219 N Main St, Beaver Dam, KY 42320. The listed phone number is (270) 274-1800.

What is Shane Napier's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shane Napier enrolled in Medicare?

Yes. Shane Napier 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 Shane Napier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Shane Napier 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 Shane Napier affiliated with any hospitals?

According to CMS data, Shane Napier is affiliated with Ohio County Hospital.

When was this NPI record last updated?

The NPPES record for Shane Napier was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.