MRS. LUCY KARA SHAMBLIN D.O.
NPI 1528208774
Family Medicine in Ripley, WV

Q: What is Lucy Shamblin's NPI number?

The NPI number for Lucy Shamblin is 1528208774. It was assigned to this individual provider in the NPPES registry on March 1, 2009.

Q: What is Lucy Shamblin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lucy Shamblin was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 01, 2009PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

174 PINNELL ST STE D, RIPLEY, WV 25271(304) 372-1740(304) 372-3069 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, Jan 10, 2021 (2 updates tracked since 2021).

On this page

About Mrs. Lucy Kara Shamblin D.o. NPPES

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

MRS. LUCY KARA SHAMBLIN D.O. (NPI 1528208774) is an individual family medicine provider in Ripley, West Virginia, licensed in West Virginia (2473) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1528208774

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. LUCY KARA SHAMBLINCredential: D.O.

Location Address174 PINNELL ST STE DRipley, WV 25271-9105

Mailing Address174 Pinnell St Ste DRipley, WV 25271-9105 · (304) 372-1740 · Fax (304) 372-3069

Phone(304) 372-1740

Fax(304) 372-3069

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2009

Enumeration DateMarch 1, 2009

Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2024

✔ NPI 1528208774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 2473

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.

Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 2473 (WV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

174 PINNELL ST STE D, Ripley, WV 25271

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Other Identifiers 7

Medicaid3810024964WV

Other003577627WV · Uhc Mpin

OtherWV2180GWV · Medicaare Ptan

OtherWV2080HWV · Medicare Ptan

OtherWV2180EWV · Medicare Ptan

OtherWV2180DWV · Medicare Ptan

OtherWV2180FWV · Medicare Ptan

Accepted Insurance

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

Mrs. Lucy Kara Shamblin D.o. 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 ID2769634245

PECOS Enrollment IDI20121207000308

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.

Hospital Affiliations CMS Care Compare 5

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Roane General Hospital

Critical Access Hospitals · Spencer, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511306

Location200 Hospital DriveSpencer, WV 25276 · Roane County

Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511320

Location122 Pinnell StRipley, WV 25271 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25271 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers18 claims46 services$5.15 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 suppliers12 claims12 services$17.64 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 suppliers18 claims18 services$91.58 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims3,129 services$0.04 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers13 claims13 services$196.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lucy Shamblin's NPI number?

The NPI number for Lucy Shamblin is 1528208774. It was assigned to this individual provider in the NPPES registry on March 1, 2009.

Where is Lucy Shamblin located?

Lucy Shamblin practices at 174 Pinnell St Ste D, Ripley, WV 25271. The listed phone number is (304) 372-1740.

What is Lucy Shamblin's specialty?

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

Is Lucy Shamblin enrolled in Medicare?

Yes. Lucy Shamblin 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 Lucy Shamblin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Lucy Shamblin 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 Lucy Shamblin affiliated with any hospitals?

According to CMS data, Lucy Shamblin is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital, Camden Clark Medical Center, Roane General Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Lucy Shamblin was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.