Carl Shealy, MD
NPI 1891706917 · Family Medicine Physician · Lexington, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carl Shealy, MD is a Family Medicine Physician provider in Lexington, SC (NPI 1891706917).
Provider details
- NPI number
- 1891706917
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 14977 (SC)
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
19 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
2,944 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 | 990 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 450 | $8 |
| 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 | 374 | $16 |
| Automated Urinalysis Test81003 | 360 | $2 |
| Annual Wellness Visit; Includes a Personalized Prevention Plan of Service (pps), Initial VisitG0438 | 226 | $155 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 147 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 394 | 120 |
| Atorvastatin Calcium | 388 | 110 |
| Levothyroxine Sodium | 388 | 98 |
| Metoprolol Succinate | 291 | 78 |
| Omeprazole | 258 | 79 |
| Rosuvastatin Calcium | 234 | 69 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21 across 1 record (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
- 2006-08-11
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Frequently asked questions
- What is Carl Shealy's NPI number?
- Carl Shealy's National Provider Identifier (NPI) is 1891706917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carl Shealy's specialty?
- Carl Shealy is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carl Shealy located?
- Carl Shealy's practice location on file with NPPES is 2006 Augusta Hwy, Lexington, SC 29072-2208.
- What is Carl Shealy's phone number?
- The practice phone number listed in the NPPES registry for Carl Shealy is (803) 785-4747.
- Does Carl Shealy accept Medicare?
- Carl Shealy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carl Shealy's NPI active?
- Yes — Carl Shealy's NPI (1891706917) is active in the NPPES registry as of the last update on 2020-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.