2026 NPPES data Family Medicine Physician NPI 1063480390 MD
Verify on CMS →

SHAWN CULEY, MD

Family Medicine Physician in SIOUX FALLS, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
321
Medicare Part D claims · 142 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
83.5331/100
▲ 0 pts above national avg 83.1 · [object Object]

What the federal data shows

SHAWN CULEY, MD reported a CMS MIPS final score of 83.5331/100 — above the 83.1 national average — and filed 321 Medicare Part D claims in 2023.

83.5331/100
MIPS score · +0 vs avg
321
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SHAWN CULEY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

84 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SHAWN CULEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SHAWN CULEY, MD?

Near national average

NPI registry status

Active

Issued 03/11/2006

NPI 1063480390

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

321 91% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

83.5331/100 0.43310000000001025% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Family Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Family Medicine Physician share within South Dakota

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within South Dakota

Medicare quality performance — MIPS

SHAWN CULEY, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
83.5331/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 83.5331/100 vs national avg 83.1

0%100%National avg83%83.5%
MIPS final score (Family Medicine Physician) — 83.5331/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SHAWN CULEY, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 4011 W BENSON RD, SIOUX FALLS, SD, 57107, with a listed phone of (605) 322-1500. NPI 1063480390 was issued on 03/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CULEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 321 prescription claims written by this provider, covering 142 Medicare beneficiaries and totaling roughly $13K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.5331/100 for the 2023 performance year (Quality 81.7967, Cost 63.3136), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4011 W BENSON RD
SIOUX FALLS, SD 57107

Provider Details

NPI 1063480390
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/11/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.5331
Final Score
Avg: 83.1
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHAWN CULEY, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ALLINA HEALTH SYSTEM
ANNANDALE, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

321
Total Claims
$13K
Total Drug Cost
142
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
331
Total Day Supply
6,388
Generic Drug Cost
$5K
Antibiotic Claims
92

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.10
Gender Split
68% female / 32% male
Age Distribution
<65: 26, 65-74: 59, 75-84: 46, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SHAWN CULEY, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
29
Escitalopram Oxalate
26
Risperidone
26
Cefuroxime
Cefuroxime Axetil
24
Doxycycline Hyclate
24
Cephalexin
18
Carbamazepine Er
Carbamazepine
13
Clonidine Hcl
13
Dilantin
Phenytoin Sodium Extended
13
Naltrexone Hcl
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How SHAWN CULEY, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

SHAWN CULEY, MD's 321 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as CULEY.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHAWN CULEY, MD's specialty?
SHAWN CULEY, MD specializes in Family Medicine Physician and practices in SIOUX FALLS, South Dakota. Credentials: MD.
How much does SHAWN CULEY, MD prescribe under Medicare Part D?
In 2023, SHAWN CULEY, MD wrote 321 Medicare Part D claims totaling $13K in drug costs for 142 beneficiaries.
What is SHAWN CULEY, MD's Medicare quality score?
SHAWN CULEY, MD has a CMS MIPS Final Score of 83.5331/100 (Quality: 81.7967, Cost: 63.3136). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHAWN CULEY, MD located?
SHAWN CULEY, MD is located at 4011 W BENSON RD, SIOUX FALLS, SD, 57107. Phone: (605) 322-1500.
What is SHAWN CULEY, MD's NPI number?
SHAWN CULEY, MD's National Provider Identifier (NPI) is 1063480390, issued on 03/11/2006.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does SHAWN CULEY, MD prescribe most often?
Based on 2023 Medicare Part D data, SHAWN CULEY, MD's most frequently prescribed drugs include Prednisone, Escitalopram Oxalate, Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAWN CULEY, MD accept Medicare?
SHAWN CULEY, MD appears in CMS Medicare data with 321 Part D claims and 142 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAWN CULEY, MD's credentials?
SHAWN CULEY, MD's NPI is 1063480390 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology