Shawn Culey, MD
NPI 1063480390 · Family Medicine Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Culey, MD is a Family Medicine Physician provider in Sioux Falls, SD (NPI 1063480390).
Provider details
- NPI number
- 1063480390
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 3579 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
55 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 35 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $120 |
Typical Medicare-allowed amounts for these services range $88–$120 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Escitalopram Oxalate | 28 | — |
| Doxycycline Hyclate | 24 | 24 |
| Risperidone | 24 | — |
| Cephalexin | 22 | 22 |
| Prednisone | 17 | 17 |
| Cefuroxime Axetilbrand: Cefuroxime | 14 | 14 |
| Carbamazepinebrand: Carbamazepine Er | 12 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-11
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Frequently asked questions
- What is Shawn Culey's NPI number?
- Shawn Culey's National Provider Identifier (NPI) is 1063480390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Culey's specialty?
- Shawn Culey is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Culey located?
- Shawn Culey's practice location on file with NPPES is 4011 W Benson Rd, Sioux Falls, SD 57107-0104.
- What is Shawn Culey's phone number?
- The practice phone number listed in the NPPES registry for Shawn Culey is (605) 322-1500.
- Does Shawn Culey accept Medicare?
- Shawn Culey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Culey's NPI active?
- Yes — Shawn Culey's NPI (1063480390) is active in the NPPES registry as of the last update on 2020-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.