DR. SHAWN P FAGAN (M.D.) – Surgery Physician, NPI 1265448500
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
644 CRITICAL CARE (INTENSIVISTS) in GA
Provider Addresses for DR. SHAWN P FAGAN (M.D.)
3651 Wheeler Rd
Augusta, GA 309096521
Phone: (706) 863-9595
Type: Location
Augusta Post Office, 40, Western Avenue, Augusta, Kennebec County, Maine, 04330, United States
AUGUSTA, GA 309143726
Phone: (706) 863-9595
Fax: (888) 745-3917
Type: Mailing
3675, J Dewey Gray Circle, Augusta, Richmond County, Georgia, 30909, United States
STE. 300
AUGUSTA, GA 309091868
Phone: (706) 863-9595
Fax: (888) 745-3917
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Sanara MedTech Inc. ($23).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sanara MedTech Inc. | $23 |
| Kerecis Limited | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150305000669 | I | General Surgery | GA | TBD |
| I20150611001405 | I | Critical Care (Intensivists) | SC | TBD |
| I20170519000215 | I | General Surgery | TX | TBD |
| I20210407000316 | I | General Surgery | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 15003 | Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 829 | 38 | $0 |
| 15274 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 495 | 32 | $0 |
| 15101 | Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 189 | 19 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 153 | 13 | $0 |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 109 | 52 | $0 |
Insurance plans in this area (ZIP 30909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | MS | |
| Physician Assistant | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | WI | |
| Plastic And Reconstructive Surgery, Critical Care (Intensivists), General Surgery | GA | |
| Nurse Practitioner | GA |
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