Shane Wilburn, PA-C
NPI 1669178075 · Physician Assistant · Summerville, SC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Wilburn, PA-C is a Physician Assistant provider in Summerville, SC (NPI 1669178075).
Provider details
- NPI number
- 1669178075
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
738 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 279 | $102 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 168 | $13 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 66 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 59 | $72 |
| Automated Urinalysis Test81003 | 42 | $2 |
| Injection of Drug Or Substance Under Skin Or Into Muscle |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 70 | 32 |
| Azelastine Hcl | 68 | 61 |
| Amlodipine Besylate | 55 | 23 |
| Gabapentin | 53 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 52 | 48 |
| Prednisone | 47 | 45 |
| Fluticasone Propionate | 46 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,105 across 48 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
- 2023-02-07
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Shane Wilburn's NPI number?
- Shane Wilburn's National Provider Identifier (NPI) is 1669178075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Wilburn's specialty?
- Shane Wilburn is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Wilburn located?
- Shane Wilburn's practice location on file with NPPES is 89 Old Trolley Rd Ste 102, Summerville, SC 29485-4951.
- What is Shane Wilburn's phone number?
- The practice phone number listed in the NPPES registry for Shane Wilburn is (854) 206-5513.
- Does Shane Wilburn accept Medicare?
- Shane Wilburn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Wilburn's NPI active?
- Yes — Shane Wilburn's NPI (1669178075) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.