NPPES file of Aug 9, 2026

Shane McDougal, MD

Family Medicine Physician · Whitesburg, KY

Shane McDougal, MD is a family medicine physician with a practice address in Whitesburg, Kentucky, and NPI 1104871862, issued on May 23, 2006. Check the license (Kentucky 37761, as entered in NPPES) on the Kentucky Board of Medical Licensure; 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
1104871862
Name
Shane McDougal
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
37761 KY
Self-reported in NPPES; status is on the state search
Practice location
214 Hospital RD, Whitesburg, KY 41858
Phone
(606) 633-4414
Enumerated
May 23, 2006
Record last updated
Jul 31, 2026
Medicaid ID
64063126 KY
Medicare enrollment
Enrolled (PECOS I20130925000126); accepts Medicare assignment
Medical or professional school
University Of Kentucky College Of Medicine, 2000
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 214 Hospital RD

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

  1. Matthew Barber, MDInternal Medicine Physician1740803162
  2. Adnan Bhopalwala, MDCardiovascular Disease Physician1811200744
  3. Ricky Collins, MDFamily Medicine Physician1659364024
  4. Alicia Cook, ARNPNurse Practitioner1972596344
  5. Samantha Eversole, DOInternal Medicine Physician1467184879
  6. Katherine Gish, MDFamily Medicine Physician1972597052

Verify Shane McDougal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 37761
    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 Kentucky 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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3.1 times the Medicare Part D claims of the average family medicine physician in 2024

11,073 Medicare Part D claims for 424 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 284 claims were for opioids.

  1. Shane McDougal11,073
  2. Specialty average3,544

Most prescribed

  1. Lisinopril505 claims
  2. Amlodipine Besylate433 claims
  3. Omeprazole432 claims
  4. Levothyroxine Sodium418 claims
  5. Rosuvastatin Calcium415 claims
  6. Metoprolol Succinate391 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): 97.4 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.

  1. Qualityout of 100 · 30% of the final score76.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $213.84

12 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. 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. Shane McDougal$213.84
  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. Appalachian Regional Healthcare IncWhitesburg, KY

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

Shane McDougal among 1,968 family medicine physician records in Kentucky

Shane McDougal, MD is one of 1,968 family medicine physician records with a practice address in Kentucky. 80% 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 14% of them.

  • NPI issued2006 · 14% of these records are older, 50% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2000 · median 2006 among the 1,277 with a school on file
  • Record last updated2026 · 57% 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 Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 family medicine physician records list a practice address in Whitesburg

They are 7 of the 178 NPPES records with a practice address in Whitesburg, and 1,968 family medicine physician records in Kentucky.

The 8 family medicine physician records with the nearest ZIP codes

  1. Marlene Bielecki, MDWhitesburg, KY 418581538112396
  2. Van Breeding, MDWhitesburg, KY 418581801841572
  3. Ricky Collins, MDWhitesburg, KY 418581659364024
  4. Katherine Gish, MDWhitesburg, KY 418581972597052
  5. Jonathan Hatton, D.O.Whitesburg, KY 418581629362397
  6. Joshua Watts, D.O.Whitesburg, KY 418581811331804
  7. Brenda Baker, MDNeon, KY 418401013088947
  8. Zachary DavisHindman, KY 418221518587427

Common questions

What is Shane McDougal, MD's NPI number?

Shane McDougal, MD's National Provider Identifier (NPI) is 1104871862, issued on May 23, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Shane McDougal, MD located?

The NPPES record lists a practice address at 214 Hospital RD, Whitesburg, KY, 41858. Phone: (606) 633-4414. Providers update this record themselves, so call before visiting.

How can I verify Shane McDougal, MD's license?

NPPES lists Kentucky license number 37761, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Shane McDougal, MD prescribe under Medicare Part D?

In 2024, Shane McDougal, MD had 11,073 Medicare Part D claims for 424 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Shane McDougal, MD's MIPS final score?

The 2023 MIPS final score is 97.4 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.