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SHAWN GREGORY MCCULLOUGH MD
NPI 1467015529
Internal Medicine in Orlando, FL

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
5540 E GRANT ST, ORLANDO, FL 32822(407) 367-4706(321) 203-4606 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Apr 15, 2019 (2 updates tracked since 2019).

About Shawn Gregory Mccullough Md NPPES

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

SHAWN GREGORY MCCULLOUGH MD (NPI 1467015529) is an individual internal medicine provider in Orlando, Florida, licensed in Florida (FM1413575) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Florida State University College Of Medicine (2019).

NPPES Registry Identity

NPI1467015529
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAWN GREGORY MCCULLOUGHCredential: MD
Location Address5540 E GRANT STOrlando, FL 32822-1668
Mailing Address5540 E Grant StOrlando, FL 32822-1668 · (407) 367-4706 · Fax (321) 203-4606
Phone(407) 367-4706
Fax(321) 203-4606
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1467015529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · FM1413575
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5540 E GRANT ST, Orlando, FL 32822
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Shawn Gregory Mccullough 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 ID3274900352
PECOS Enrollment IDI20221102000848
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 11

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 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.
361 services180 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.
196 services137 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.
129 services129 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
119 services99 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
47 services46 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32822 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 6

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

PRIMARY CARE SPECIALISTS LLC
Family Medicine
5540 E GRANT ST, SUITE A
ORLANDO, FL 32822
Orange County (407) 281-7728
KRISTOFFER ACASIO APRN
Nurse Practitioner (Psychiatric/Mental Health)
5540 E GRANT ST
ORLANDO, FL 32822
Orange County (407) 262-2220
CVIO DIAGNOSTICS
Specialist
5540 E GRANT ST, STE B
ORLANDO, FL 32822
Orange County (407) 480-4445
DR. GIERWIN IAN ALAGANO DPT
Physical Therapist
5540 E GRANT ST, STE C
ORLANDO, FL 32822
Orange County (407) 823-8550
ANIL R PATEL MD
Family Medicine
5540 E GRANT ST, SUITE A
ORLANDO, FL 32822
Orange County (407) 367-4706
BELA GOHEL DPT
Physical Therapist
5540 E GRANT ST, SUITE C
ORLANDO, FL 32822
Orange County (407) 823-8550

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 Mccullough's NPI number?

The NPI number for Shawn Mccullough is 1467015529. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Shawn Mccullough located?

Shawn Mccullough practices at 5540 E Grant St, Orlando, FL 32822. The listed phone number is (407) 367-4706.

What is Shawn Mccullough's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shawn Mccullough enrolled in Medicare?

Yes. Shawn Mccullough 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 Mccullough accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Shawn Mccullough 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 Mccullough affiliated with any hospitals?

According to CMS data, Shawn Mccullough is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Shawn Mccullough was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.