Shawn Fugate, M.D.
NPI 1609813807 · Family Medicine Physician · Pineville, KY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Fugate, M.D. is a Family Medicine Physician provider in Pineville, KY (NPI 1609813807).
Provider details
- NPI number
- 1609813807
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26778 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
105 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Hemoglobin A1c Level83036 | 67 | $10 |
| Automated Urinalysis Test81003 | 22 | $2 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 16 | $50 |
Typical Medicare-allowed amounts for these services range $2–$50 (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 · 121 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 326 | 45 |
| Levothyroxine Sodium | 288 | 72 |
| Amlodipine Besylate | 282 | 79 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 218 | 32 |
| Rosuvastatin Calcium | 211 | 53 |
| Lisinopril | 166 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$238 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2019-01-16
Frequently asked questions
- What is Shawn Fugate's NPI number?
- Shawn Fugate's National Provider Identifier (NPI) is 1609813807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Fugate's specialty?
- Shawn Fugate is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Fugate located?
- Shawn Fugate's practice location on file with NPPES is 313 S Cherry St, Pineville, KY 40977-1724.
- What is Shawn Fugate's phone number?
- The practice phone number listed in the NPPES registry for Shawn Fugate is (606) 654-3338.
- Does Shawn Fugate accept Medicare?
- Shawn Fugate is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Fugate's NPI active?
- Yes — Shawn Fugate's NPI (1609813807) is active in the NPPES registry as of the last update on 2019-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.