Carl B. Shealy, MD
Nephrology Physician · Columbia, SC
Carl B. Shealy, MD is a nephrology physician with a practice address in Columbia, South Carolina, and NPI 1861467235, issued on Feb 21, 2006. Check the license (South Carolina 23581, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Carl B. Shealy
- Credential
- MD
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 23581 SC
Self-reported in NPPES; status is on the state search - Practice location
- 121 Park Central Dr, Columbia, SC 29203
- Phone
- (803) 252-9907
- Enumerated
- Feb 21, 2006
- Record last updated
- Nov 2, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (803) 252-9906
- Medicaid ID
- 235819 SC
- Medicare enrollment
- Enrolled (PECOS I20100220000167); accepts Medicare assignment
- Medical or professional school
- Medical University Of South Carolina College Of Medicine, 1997
- Entity
- Type 1 · individual
8 nearest nephrology physician records → All 202 in South Carolina → Look up another NPI →
Also registered at 121 Park Central Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- John Buerkert, MDSpecialist1831164508
- Michael Cook, MDNephrology Physician1649245317
- Sarah Ford-Sightler, DNPAcute Care Nurse Practitioner1396983987
- Heather Green, ACNPAcute Care Nurse Practitioner1427355940
- Marcono Hines, MDNephrology Physician1932375631
- Manish Kadian, MDNephrology Physician1528210887
Verify Carl B. Shealy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 23581Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average nephrology physician in 2024
801 Medicare Part D claims for 191 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 24% of claims.
Most prescribed
- Valsartan81 claims
- Furosemide80 claims
- Calcitriol54 claims
- Velphoro43 claims
- Farxiga42 claims
- Procrit39 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 MIPS final score for 2023 (Medicare payment program): 24 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $764.67
27 payments; by number, the most common kind was food and beverage; the largest payer was Nxstage Medical, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Columbia Nephrology Associates PAColumbia, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carl B. Shealy among 202 nephrology physician records in South Carolina
Carl B. Shealy, MD is one of 202 nephrology physician records with a practice address in South Carolina. 81% 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 19% of them.
- NPI issued2006 · 19% of these records are older, 44% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1997 · median 1999 among the 144 with a school on file
- Record last updated2017 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in South Carolina
There are 202 nephrology physician records in South Carolina.
All 202 in South Carolina → Every provider in Columbia → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Asha Bailey, DOColumbia, SC 292031619156957
- Michael Cook, MDColumbia, SC 292031649245317
- Marcono Hines, MDColumbia, SC 292031932375631
- Howard Lifland, M.D.Columbia, SC 292031700861093
- Niall McLaughlin, MDColumbia, SC 292031457325292
- Nzisa Mutinga, MDColumbia, SC 292031104891837
- Thomas Powell, M.D.Columbia, SC 292031316968928
- Prakash Prabhu, MDColumbia, SC 292031083689715
Common questions
What is Carl B. Shealy, MD's NPI number?
Carl B. Shealy, MD's National Provider Identifier (NPI) is 1861467235, issued on Feb 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Carl B. Shealy, MD located?
The NPPES record lists a practice address at 121 Park Central Dr, Columbia, SC, 29203. Phone: (803) 252-9907. Providers update this record themselves, so call before visiting.
How can I verify Carl B. Shealy, MD's license?
NPPES lists South Carolina license number 23581, 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 B. Shealy, MD prescribe under Medicare Part D?
In 2024, Carl B. Shealy, MD had 801 Medicare Part D claims for 191 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Carl B. Shealy, MD's MIPS final score?
The 2023 MIPS final score is 24 of 100. 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.