DR. SHAWN T MILBURN MD
NPI 1841652872
Anesthesiology - Pain Medicine in Lexington, KY
About Dr. Shawn T Milburn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN T MILBURN MD (NPI 1841652872) is an individual pain medicine provider in Lexington, Kentucky, licensed in Kentucky (53919) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph East, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Other Identifiers 9
Accepted 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
Dr. Shawn T Milburn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shawn Milburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 250 clinicians in this Medicare group
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 193 clinicians in this Medicare group
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 31
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph East
Acute Care Hospitals · Lexington, KYMedicare 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.
Reported Quality Measures
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.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
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 Milburn's NPI number?
The NPI number for Shawn Milburn is 1841652872. It was assigned to this individual provider in the NPPES registry on March 29, 2016.
Where is Shawn Milburn located?
Shawn Milburn practices at 101 Prosperous Pl Ste 300, Lexington, KY 40509. The listed phone number is (859) 275-5229.
What is Shawn Milburn's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Shawn Milburn enrolled in Medicare?
Yes. Shawn Milburn 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 Milburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Milburn reassigns Medicare benefits to 2 organizations: Kentuckyone Health Medical Group, Inc. (Lexington, KY) and Commonwealth Pain Associates, PLLC (Louisville, KY). 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 Milburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Milburn accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Shawn Milburn 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 Milburn affiliated with any hospitals?
According to CMS data, Shawn Milburn is affiliated with Saint Joseph East.
When was this NPI record last updated?
The NPPES record for Shawn Milburn was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.