SHAWN TIMOTHY BULLER PA
NPI 1861452443
Physician Assistant in Charlotte, NC

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
9332 S TRYON ST, CHARLOTTE, NC 28273(704) 587-6700 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 61 more (64 updates tracked since 2015).

About Shawn Timothy Buller Pa NPPES

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

SHAWN TIMOTHY BULLER PA (NPI 1861452443) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (103765) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1861452443
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAWN TIMOTHY BULLERCredential: PA
Location Address9332 S TRYON STCharlotte, NC 28273-3108
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 27, 2006
Last NPPES UpdateJuly 15, 202464 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
NPI 1861452443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103765
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9332 S TRYON ST, Charlotte, NC 28273

Secondary Practice Locations 4

Location 15727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 27810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 35717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 410210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000

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 Timothy Buller Pa 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 ID3274429667
PECOS Enrollment IDI20040805000669
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9332 S TRYON ST
CHARLOTTE, NC 28273
Family Medicine
9332 S TRYON ST
CHARLOTTE, NC 28273
Physician Assistant
9332 S TRYON ST
CHARLOTTE, NC 28273
Pediatrics
9332 S TRYON ST
CHARLOTTE, NC 28273
Pediatrics
9332 S TRYON ST
CHARLOTTE, NC 28273
Nurse Practitioner (Family)
9332 S TRYON ST
CHARLOTTE, NC 28273
Physician Assistant
9332 S TRYON ST
CHARLOTTE, NC 28273
Family Medicine
9332 S TRYON ST
CHARLOTTE, NC 28273

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 Buller's NPI number?

The NPI number for Shawn Buller is 1861452443. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Shawn Buller located?

Shawn Buller practices at 9332 S Tryon St, Charlotte, NC 28273. The listed phone number is (704) 587-6700.

What is Shawn Buller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shawn Buller enrolled in Medicare?

Yes. Shawn Buller 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 Buller accept?

Health plans from Blue Cross and Blue Shield of NC list Shawn Buller 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.

When was this NPI record last updated?

The NPPES record for Shawn Buller was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.