Shawn F Riley, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17005 Issued in SC

Practice address

1115 48TH Ave N
Suite 121
Myrtle Beach, SC 29577

Phone

(843) 449-6478

Fax

(843) 497-8571

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Rush Medical College of Rush University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158

Merit-based Incentive Payment System (MIPS)

Final score

92.04 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

73.46

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Specialty Eye Care of the Carolinas, PC

  • Ophthalmology Physician
  • Myrtle Beach, SC
  • NPI 1992984470
  Medicare reassignment NPD Authorized official
• Specialty Eye Care of the Carolinas, PC

  • Ophthalmology Physician
  • Supply, NC
  • NPI 1760661235
  Medicare reassignment NPD Authorized official
• Columbus Eye Associates OD PA

  • Optometrist
  • Whiteville, NC
  • NPI 1669439139
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brunswick Community Hospital, LLC

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1003873894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 HOPSEWEE DR",
            "address_2": "PLANTATION POINT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-444-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 48TH AVE N",
            "address_2": "SUITE 121",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-449-6478",
            "fax_number": "843-497-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SHAWN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "17005",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9300575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy C Richardson, FNP
• Katina Richmond, PHARMD
• Katie Lauren Riesenberg, D.M.D.
• Misty R Riggan
• Meg Mackenzie Riley, DO
• Emily Rinehart
• Christina Marie Ring, PTA
• Nicholas Martin Rini, PA-C
• Joann Ristau, MS, LPC, NCC
• Tori Elaine Ritchie, P.C.

• Ophthalmology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.