SHAWN SHADELL FUGATE (M.D.) – Family Medicine Physician, NPI 1609813807

SHAWN SHADELL FUGATE (M.D.) is a healthcare provider. based in Pineville, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 26778 (KY). The NPI Number for SHAWN SHADELL FUGATE (M.D.) is 1609813807

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN SHADELL FUGATE (M.D.)
NPI
1609813807
Phone
(606) 337-3223
Address
526 W KENTUCKY AVE
Enumeration Date
31 May 2006
Last Update Date
16 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
6066543338
Graduation Year
1987 (39 years ago)
PAC ID
5395748511
Group Practice PAC ID
3870654064
Professional Enrollment ID
I20060808000491
Address ID
KY409771724PI313XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,718 FAMILY PRACTICE in KY

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Provider Addresses for SHAWN SHADELL FUGATE (M.D.)

  • Kentucky Avenue, Wallsend, Pineville, Bell County, Kentucky, 40977, United States

    PINEVILLE, KY 409771343

    Phone: (606) 337-3223

    Type: Mailing

  • 313, Cherry Street, Pineville, Bell County, Kentucky, 40977, United States

    PINEVILLE, KY 409771724

    Phone: (606) 654-3338

    Fax: (606) 654-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $457.

Total Amount is formed as General ($457) + Research ($0) + Ownership ($0) = $457.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($79).

Total Amount

$457

General + Research + Ownership

Payments

21

Total payment records

General Amount

$457

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060808000491IFamily PracticeKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level7634$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2317$0
81003Automated urinalysis test2012$0
View full utilization report →

Insurance plans in this area (ZIP 40977)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870654064View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YVA
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
-KY
Physician AssistantKY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerTN

Reviews

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Frequently asked questions

What unique ID ties claims to SHAWN SHADELL FUGATE (M.D.)?
NPI 1609813807 is assigned to SHAWN SHADELL FUGATE (M.D.) under the national enumeration system.
Is SHAWN SHADELL FUGATE (M.D.) active in the national directory?
SHAWN SHADELL FUGATE (M.D.)'s public NPI profile is in an active state.
What field does SHAWN SHADELL FUGATE (M.D.) work in?
You can think of SHAWN SHADELL FUGATE (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is SHAWN SHADELL FUGATE (M.D.)'s primary listing?
We display Pineville, Kentucky because that is what the record indicates for SHAWN SHADELL FUGATE (M.D.).
What if Pineville, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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