Dr. Shawn Michael Mchugh , DO
General Practice • San Diego, CA
34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services
San Diego, CA 921341098
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on February 3, 2006; this date does not establish years in practice.
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Published CMS data list 22 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99223 — Initial hospital care with moderate level of medical decision making: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 54 Medicare Part D prescriptions, including refills, in 2014.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014. Published rows only; this is not a quality measure.
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Published Part D records, 2014:
- Simvastatin — 24 prescription fills, including refills.
- Atenolol — 16 prescription fills, including refills.
- Lisinopril — 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under General Practice in San Diego, CA (2024, 18 clinicians with data). Median for this group: 259. Middle half: 133 to 865.
Fewer Medicare Part B services than 95% of clinicians listed under General Practice in California (2024, 411 clinicians with data). Median for this group: 485. Middle half: 154 to 2,031.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 12 in 2023 to 22 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023–2024.
Practice Location & Contact Primary Location
34800 Bob Wilson Dr
Nmcsd, Attn: Medical Staff Services
San Diego, CA 921341098
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Southern California Permanente Medical Group. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Arizona College Of Osteopathic Medicine Mid Western University
2002
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
24 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $3,877 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $3,032 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
157 standardized 30-day fills in 2014
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$739 in 2014
The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Mchugh has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Mchugh as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in San Diego and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under General Practice in San Diego, CA (2024, 18 clinicians with data). Median for this group: 259. Middle half: 133 to 865.
Fewer Medicare Part B services than 95% of clinicians listed under General Practice in California (2024, 411 clinicians with data). Median for this group: 485. Middle half: 154 to 2,031.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under General Practice in San Diego, CA (2024, 18 clinicians with data). Median for this group: $24,568. Middle half: $14,733 to $82,044.
A lower Medicare-allowed amount than 90% of clinicians listed under General Practice in California (2024, 411 clinicians with data). Median for this group: $45,658. Middle half: $14,895 to $165,622.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under General Practice in San Diego, CA (2024, 18 clinicians with data). Median for this group: $16,980. Middle half: $10,181 to $62,335.
A lower Medicare payment amount than 85% of clinicians listed under General Practice in California (2024, 411 clinicians with data). Median for this group: $32,130. Middle half: $11,289 to $132,947.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Mchugh are from 2014.
258 active clinicians are listed under General Practice with a practice address in San Diego, CA (1,963 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Diego
2.3% of these 258 clinicians have the CMS telehealth indicator.
9.3% of these 258 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 12 in 2023 to 22 in 2024.
- 2023: 12
- 2024: 22
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Medicare-allowed amount
Medicare-allowed amount increased 80% from $2,155 in 2023 to $3,877 in 2024.
- 2023: $2,155
- 2024: $3,877
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Paid by Medicare
Paid by Medicare increased 93% from $1,572 in 2023 to $3,032 in 2024.
- 2023: $1,572
- 2024: $3,032
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 97% from 1,555 in 2013 to 54 in 2014.
- 2013: 1,555
- 2014: 54
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30-day fills
30-day fills decreased 97% from 4,587 in 2013 to 157 in 2014.
- 2013: 4,587
- 2014: 157
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Part D drug cost
Part D drug cost decreased 98% from $48,012 in 2013 to $739 in 2014.
- 2013: $48,012
- 2014: $739
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2014), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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22 | 22 | $507.00 | $176.22 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2014.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Simvastatin | Simvastatin | 24 | 2,330 | $418.08 | 12 |
| Atenolol | Atenolol | 16 | 973 | $150.73 | — |
| Lisinopril | Lisinopril | 14 | 1,400 | $170.05 | 11 |
Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20080314000530
CA
2567547540
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Southern California Permanente Medical Group
4647 Zion Ave, San Diego, CA 921202507
Phone: 6195285000
Southern California Permanente Medical Group
360 Rush Dr, San Marcos, CA 920787901
Phone: 8335742273
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner
Psychiatry & Neurology - Child & Adolescent Psychiatry
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Anesthesiology
Doctor of Osteopathic Medicine (D.O.)
Urology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated February 03, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other General Practices in San Diego
- Dr. Joshua Wilde, DO
- Dr. Nicole Agostinelli, MD
- Dr. John Payton, DO
- Dr. Nadine Sidrick, MD
- Dr. Jake Del Rosso, MD
- Dr. Eugene Tachuk, MD
Mailing Address
42600 Hussar Ct
Temecula, CA 925927119
Phone: 6198047433