DR. SHAWN A BIRCHENOUGH MD
NPI 1518172972
Surgery - Plastic and Reconstructive Surgery in Spartanburg, SC

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
391 SERPENTINE DR, SUITE 250, SPARTANBURG, SC 29303(864) 560-6717(864) 560-7105 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2020, Apr 29, 2019 (2 updates tracked since 2019).

About Dr. Shawn A Birchenough Md NPPES

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

DR. SHAWN A BIRCHENOUGH MD (NPI 1518172972) is an individual plastic and reconstructive surgery provider in Spartanburg, South Carolina, licensed in South Carolina (31645) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of Virginia School Of Medicine (2002).

NPPES Registry Identity

NPI1518172972
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. SHAWN A BIRCHENOUGHCredential: MD
Location Address391 SERPENTINE DR, SUITE 250Spartanburg, SC 29303-3096
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 560-7105
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2002
Enumeration DateMay 11, 2007
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
NPI 1518172972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in SC · 31645
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 31645 (SC)
391 SERPENTINE DR, Spartanburg, SC 29303

Other Identifiers 2

Medicaid5918104NC
Medicaid316456SC

Accepted 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

Dr. Shawn A Birchenough 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 ID5698811669
PECOS Enrollment IDI20091005000487
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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
30 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services24 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
391 SERPENTINE DR, SUITE 400
SPARTANBURG, SC 29303
Pharmacist (Pharmacotherapy)
391 SERPENTINE DR, SUITE 201
SPARTANBURG, SC 29303
Dermatology
391 SERPENTINE DR, SUITE 300
SPARTANBURG, SC 29303
Nurse Practitioner (Psychiatric/Mental Health)
391 SERPENTINE DR, SUITE 400
SPARTANBURG, SC 29303
Social Worker (Clinical)
391 SERPENTINE DR
SPARTANBURG, SC 29303
Specialist
391 SERPENTINE DR, SUITE500
SPARTANBURG, SC 29303
Psychiatry & Neurology (Psychiatry)
391 SERPENTINE DR, SUITE 400, DOCTOR'S CENTER
SPARTANBURG, SC 29303
Specialist
391 SERPENTINE DR, SUITE 500
SPARTANBURG, SC 29303

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 Birchenough's NPI number?

The NPI number for Shawn Birchenough is 1518172972. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Shawn Birchenough located?

Shawn Birchenough practices at 391 Serpentine Dr Suite 250, Spartanburg, SC 29303. The listed phone number is (864) 560-6717.

What is Shawn Birchenough's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Shawn Birchenough enrolled in Medicare?

Yes. Shawn Birchenough 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 Birchenough accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Shawn Birchenough 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 Birchenough affiliated with any hospitals?

According to CMS data, Shawn Birchenough is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Shawn Birchenough was last updated on November 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.