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

Q: 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.

Q: What is Shawn Mccullough's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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 AvMed.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

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, I20260615001320

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 Mccullough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Physicians Network Inc

4.0 mi

Internal Medicine

21 W COLUMBIA ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
339 clinicians in this Medicare group

NPI 1568693554 (407) 481-7174

North Shore - Lij Medical PC

947 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

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 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.

Which organizations bill Medicare for Shawn Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Mccullough reassigns Medicare benefits to 2 organizations: Orlando Physicians Network Inc (Orlando, FL) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Mccullough accept?

Health plans from AvMed 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.