NPPES file of Aug 9, 2026

Carl J. Shealy, MD

Family Medicine Physician · Lexington, SC

Carl J. Shealy, MD is a family medicine physician with a practice address in Lexington, South Carolina, and NPI 1891706917, issued on Aug 11, 2006. Check the license (South Carolina 14977, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1891706917
Name
Carl J. Shealy
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
14977 SC
Self-reported in NPPES; status is on the state search
Practice location
2006 Augusta Hwy, Lexington, SC 29072
Phone
(803) 785-4747
Enumerated
Aug 11, 2006
Record last updated
Nov 11, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(803) 785-4750
Medicaid ID
149770 SC
Medicare enrollment
Enrolled (PECOS I20100129000146); accepts Medicare assignment
Medical or professional school
Medical University Of South Carolina College Of Medicine, 1989
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2006 Augusta Hwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Benjamin Askins, MDFamily Medicine Physician1679601330
  2. Beth-Ann BowersFamily Nurse Practitioner1235884792
  3. William Brearley, MDFamily Medicine Physician1184645830
  4. Beth Ann Bremer, FNP-BCFamily Nurse Practitioner1205380185
  5. Adrian CaughmanNurse Practitioner1689442824
  6. Clarence Coker, MDFamily Medicine Physician1003891508

Verify Carl J. Shealy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 14977
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.8 times the Medicare Part D claims of the average family medicine physician in 2024

9,903 Medicare Part D claims for 700 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 131 claims were for opioids.

  1. Carl Shealy9,903
  2. Specialty average3,544

Most prescribed

  1. Amlodipine Besylate394 claims
  2. Atorvastatin Calcium388 claims
  3. Levothyroxine Sodium388 claims
  4. Metoprolol Succinate291 claims
  5. Omeprazole258 claims
  6. Rosuvastatin Calcium234 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 83 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.5
  2. Costout of 100 · 30%72.2
  3. Promoting interoperabilityout of 100 · 25%89.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $20.75

1 payment: food and beverage; the largest payer was GlaxoSmithKline, LLC. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carl Shealy$20.75
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Lexington Health IncLexington, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Carl J. Shealy among 2,700 family medicine physician records in South Carolina

Carl J. Shealy, MD is one of 2,700 family medicine physician records with a practice address in South Carolina. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 53% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated1989 · median 2006 among the 1,638 with a school on file
  • Record last updated2020 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

50 family medicine physician records list a practice address in Lexington

They are 50 of the 1,926 NPPES records with a practice address in Lexington, and 2,700 family medicine physician records in South Carolina.

The 8 family medicine physician records with the nearest ZIP codes

  1. Stacie Boyer, MDLexington, SC 290721427078237
  2. William Brearley, MDLexington, SC 290721184645830
  3. Dee Carter, M.D.Lexington, SC 290721841299930
  4. Clarence Coker, MDLexington, SC 290721003891508
  5. William Crigler, MDLexington, SC 290721043264765
  6. William Harman, M.D.Lexington, SC 290721851388680
  7. Rebecca McNair, MDLexington, SC 290721205808839
  8. Wendy Miller, M.D.Lexington, SC 290721083613004

Common questions

What is Carl J. Shealy, MD's NPI number?

Carl J. Shealy, MD's National Provider Identifier (NPI) is 1891706917, issued on Aug 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Carl J. Shealy, MD located?

The NPPES record lists a practice address at 2006 Augusta Hwy, Lexington, SC, 29072. Phone: (803) 785-4747. Providers update this record themselves, so call before visiting.

How can I verify Carl J. Shealy, MD's license?

NPPES lists South Carolina license number 14977, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Carl J. Shealy, MD prescribe under Medicare Part D?

In 2024, Carl J. Shealy, MD had 9,903 Medicare Part D claims for 700 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Carl J. Shealy, MD's MIPS final score?

The 2023 MIPS final score is 83 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.