SHAWN SHADELL FUGATE M.D.
NPI 1609813807
Family Medicine in Pineville, KY
About Shawn Shadell Fugate M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN SHADELL FUGATE M.D. (NPI 1609813807) is an individual family medicine provider in Pineville, Kentucky, licensed in Kentucky (26778) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of University Of Louisville School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Shawn Shadell Fugate M.d. 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Middlesboro Arh Hospital
Acute Care Hospitals · Middlesboro, KYBaptist Health Corbin
Acute Care Hospitals · Corbin, KYPineville Community Health Center, Inc
Acute Care Hospitals · Pineville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40977 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PINEVILLE, KY 40977
PINEVILLE, KY 40977
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 Fugate's NPI number?
The NPI number for Shawn Fugate is 1609813807. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Shawn Fugate located?
Shawn Fugate practices at 313 S Cherry St, Pineville, KY 40977. The listed phone number is (606) 654-3338.
What is Shawn Fugate's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shawn Fugate enrolled in Medicare?
Yes. Shawn Fugate 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 Fugate accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Shawn Fugate 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 Fugate affiliated with any hospitals?
According to CMS data, Shawn Fugate is affiliated with Middlesboro Arh Hospital, Baptist Health Corbin and Pineville Community Health Center, Inc.
When was this NPI record last updated?
The NPPES record for Shawn Fugate was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
