SHANE MCDOUGAL (MD) – Family Medicine Physician, NPI 1104871862
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
Provider Addresses for SHANE MCDOUGAL (MD)
47 HIGHWAY 119 S
STE 3
WHITESBURG, KY 41858
Phone: (606) 633-7000
Fax: (606) 633-7001
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $309.
Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($44).
Total Amount
$309
General + Research + Ownership
Payments
17
Total payment records
General Amount
$309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040922001190 | I | Family Practice | KY | TBD |
| I20130925000126 | I | Family Practice | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 108 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 204 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 101 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 64 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 74 | 19 | $0 |
Insurance plans in this area (ZIP 41858)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WV | |
| Physician Assistant | WV | |
| - | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Mental Health Counselor | KY | |
| Endocrinology, Internal Medicine | NY | |
| Emergency Medicine, Family Practice | KY | |
| Orthopedic Surgery | MS | |
| Nurse Practitioner | KY |
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