DR. SHAWN T MILBURN MD
NPI 1841652872
Anesthesiology - Pain Medicine in Lexington, KY

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
89.07/100
CMS Quality Rating
160 N EAGLE CREEK DR STE 303, LEXINGTON, KY 40509(859) 264-9820(859) 543-0994 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jun 9, 2022, Jul 30, 2021 and 4 more (7 updates tracked since 2016).

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 Baptist Health Richmond, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1841652872
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. SHAWN T MILBURNCredential: MD
Location Address160 N EAGLE CREEK DR STE 303Lexington, KY 40509-2124
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 543-0994
Fax(859) 543-0994
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateMay 28, 20267 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1841652872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in KY · 53919
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 53919 (KY)
160 N EAGLE CREEK DR STE 303, Lexington, KY 40509

Secondary Practice Location 1

Location 1101 Prosperous Pl Ste 300Lexington, KY 40509-1836 · Phone (859) 275-5229 · Fax (859) 977-2683

Other Identifiers 9

Other7617067United Healthcare
Other000001489941KY · Anthem Ky & In
Other00297988Siho
Other68597919KY · Aetna
Other1327389-0001Ohio Workers Comp
Medicaid7100513260KY
Other12299111Prime Health Services
Medicaid300047944IN
Other3787095Cigna

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 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.

PECOS PAC ID143636902
PECOS Enrollment IDI20210303001166
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 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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,538 services74 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,330 services194 patients
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.
442 services290 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
361 services78 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.
214 services172 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
158 services158 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

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.

89.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.01
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
96%919 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
52%289 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
73%82 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%69 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,194 patients4/55-star benchmark: 100%
e-Prescribing
99%127 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%2,238 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
74%2,207 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 59% · 1,710 patients
Patients screened: 69% · 1,710 patients
42%300 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
70%1,199 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%95 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 954 patients
Patients totalRate: 6% · 954 patients
6%954 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist/Technologist (Athletic Trainer)
160 N EAGLE CREEK DR STE 303
LEXINGTON, KY 40509
Orthopaedic Surgery
160 N EAGLE CREEK DR STE 303
LEXINGTON, KY 40509
Physician Assistant (Surgical)
160 N EAGLE CREEK DR STE 303
LEXINGTON, KY 40509
Orthopaedic Surgery
160 N EAGLE CREEK DR STE 303
LEXINGTON, KY 40509
Physician Assistant
160 N EAGLE CREEK DR STE 303
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 160 N Eagle Creek Dr Ste 303, Lexington, KY 40509. The listed phone number is (859) 264-9820.

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.

What insurance does Shawn Milburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 Baptist Health Richmond and Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Milburn was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.