Ann Plast Surg
Dr. Shawn A. Birchenough, MD
- Medicare services, 2024
- 118
- Medicare patients, 2024
- 113
- Part D claims, 2024
- 168
- Publications
- 5
- MIPS score, 2024
- 95
- Practice address
- 391 Serpentine Dr Suite 330, Spartanburg, SC 29303
- Practice phone
- Call (864) 585-2002
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Spartanburg Surgery Center
Surgery Center - Medicare-Certified · Spartanburg, South Carolina
Find Dr. Birchenough's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Shawn A. Birchenough is a plastic and reconstructive surgery physician in Spartanburg, South Carolina
Dr. Birchenough practices at Spartanburg Surgery Center in Spartanburg, South Carolina.
Dr. Birchenough's NPI, 1518172972, was assigned on May 11, 2007. Dr. Birchenough graduated from UVA School of Medicine in 2002. Dr. Birchenough holds South Carolina license 31645.
- NPI
- 1518172972NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5698811669
- NPI enumeration date
- May 11, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (864) 585-2002
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 50
- Medical school graduation
- 2002
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Shawn A. Birchenough practices at Spartanburg Surgery Center in Spartanburg, South Carolina
Dr. Birchenough's primary practice is Spartanburg Surgery Center, at 391 Serpentine Dr Suite 330, Spartanburg, SC 29303. The practice phone is (864) 585-2002.
- Spartanburg Surgery Center391 Serpentine Dr Suite 330, Spartanburg, SC 29303Phone(864) 585-2002
Source: Dmand AI Affiliation Data
Dr. Shawn A. Birchenough is affiliated with 5 sites of care and 1 medical group
Dr. Birchenough's primary practice is Spartanburg Surgery Center in Spartanburg, South Carolina. Dr. Birchenough is also affiliated with Spartanburg Medical Center. The medical group on file is Medical Group of the Carolinas - Family Medicine - Converse Heights. Dmand AI also links Dr. Birchenough to 1 more hospital, 1 physician office and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Shawn A. Birchenough's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Birchenough practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Spartanburg Surgery Center | Available with a free account |
| +4 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Shawn A. Birchenough is one of 50 plastics and reconstructive surgery physicians in South Carolina
Plastic and reconstructive surgery is Dr. Birchenough's primary specialty in the NPI Registry, under taxonomy code 2086S0122X. Dr. Birchenough is board certified in plastic surgery by the American Board of Plastic Surgery. Dmand AI has Dr. Birchenough's licenses on file in 3 states: South Carolina, Tennessee and Virginia.
Specialties and state licenses
- Plastic and reconstructive surgery, South CarolinaPrimary
- Tennessee license
- Virginia license
Clinical focus
Dmand AI lists breast reconstruction, cancerous skin growth removal and head wound among the conditions Dr. Birchenough treats.
Plastics and reconstructive surgery physicians near Dr. Birchenough
Counts of plastics and reconstructive surgery physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Shawn A. Birchenough billed Medicare for 118 services in 2024
CMS data shows 118 Medicare services from Dr. Birchenough across 4 procedure codes in 2024, for 113 Medicare patients. Medicare paid $11,443 for them.
Dr. Birchenough's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1162024: 1059%
- Surgery
- 2023: 542024: 1376%
Where Dr. Birchenough's Medicare services took place, 2024
- In an office10589%
- In a facility1311%
Dr. Birchenough compared with the South Carolina median for plastics and reconstructive surgery physicians, 2024
- Dr. Birchenough
- South Carolina median
- Medicare services
- 118vs 552.1 times
- Medicare patients
- 113vs 8828% above
- Part D claims
- 128vs 522.5 times
Medians across 46 plastics and reconstructive surgery physicians in South Carolina with Dmand AI profiles that report each measure.
Dr. Birchenough's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Birchenough?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Birchenough and other plastics and reconstructive surgery physicians in South Carolina.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Shawn A. Birchenough treated 113 Medicare patients in 2024, average age 76
CMS counts 113 Medicare patients who saw Dr. Birchenough in 2024. The largest group is 75 to 84, with 44 patients. 75% of them have high cholesterol, and 74% have high blood pressure. Their average risk score is 1.42, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Birchenough's median patient age at 74, with 59% women.
Dr. Birchenough's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Birchenough's Medicare patients by sex, 2024
- Women5347%
- Men6053%
Chronic conditions among Dr. Birchenough's Medicare patients, 2024
- High cholesterol75%
- High blood pressure74%
- Arthritis46%
- Chronic kidney disease40%
- Anxiety32%
- Diabetes32%
- Depression31%
- Mood disorders31%
Share of Medicare patients with each condition. A patient can have several.
Dr. Birchenough's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 74
Patient panel by sex, all payers
- Women59%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Shawn A. Birchenough wrote 168 Medicare Part D claims in 2024
In 2024, Dr. Birchenough wrote 168 Medicare Part D claims for 86 patients. 99% of them were for generic drugs. CMS names the drug for 128 of them, across 4 drugs with 11 or more claims each, at $391 in total drug cost. In 2023, CMS named 106 claims across 3 drugs.
Dr. Birchenough's Part D claims by kind of drug, 2024
- Generic166 claims99%
- Brand-name and other2 claims1%
Dr. Birchenough's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Birchenough's Part D claims, 2024
- Opioids62%104 of 168 claims
- Antibiotics18%30 of 168 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1062024: 12821%
Drugs named by CMS: 4 in 2024, 3 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Shawn A. Birchenough scored 95 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. Birchenough for performance year 2024, reported through an alternative payment model (APM). Dr. Birchenough accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 50 procedures of melanoma (skin cancer) excision by Dr. Birchenough, more than 86% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Birchenough's MIPS scores, performance year 2024
- 95of 100Final score
- 89.4of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Birchenough ranks in Medicare procedure volume
- Melanoma (skin cancer) excision
- 86th percentile50 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Mastectomy: 1 to 10 procedures (CMS shows small counts as a range)
Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Shawn A. Birchenough has 5 publications on record
Dmand AI links 5 papers to Dr. Birchenough. The most frequent topics are Burns. Dr. Birchenough has published most often in Ann Plast Surg. Dr. Birchenough's most frequent co-author is Thomas J. Gampper.
Topics Dr. Birchenough writes about most
- Burns
Dr. Birchenough's most frequent co-authors
Recent publications by Dr. Birchenough
Ann Plast Surg
J Craniofac Surg
See who Dr. Birchenough researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Birchenough works with, so you can find a warm path to the right plastics and reconstructive surgery physicians.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Shawn A. Birchenough received $17,587 in industry payments from 2016 to 2025
CMS Open Payments shows 266 general payments to Dr. Birchenough from 26 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 95% of the total. Allergan Inc. paid the most, $8,126.
General payments to Dr. Birchenough by program year, 2016 to 2025
General payments to Dr. Birchenough by kind, 2016 to 2025
- Food and beverage$16,74195%
- Travel and lodging$5063%
- Device or supply loans$3262%
- Entertainment$140%
Companies that paid Dr. Birchenough the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Shawn A. Birchenough graduated from UVA School of Medicine
Dr. Birchenough graduated from UVA School of Medicine in 2002. Dr. Birchenough is a member of ASPS.
- Medical school
- Board certified in plastic surgery
Source: Dmand AI Professional Profile Data
Dr. Shawn A. Birchenough accepts plans from 19 insurance carriers
Dr. Birchenough is in network with 19 carriers, including Elevance, United Healthcare and Cigna. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
- Elevance
- United Healthcare
- Cigna
- HCSC
- Molina
- Aetna
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- +11 more carriersWith a free account
Plan types Dr. Birchenough accepts, by number of carriers
- PPO12
- HMO9
- Medicare9
- EPO3
- Medicaid3
- POS3
Source: Dmand AI Insurance Network Data
Sources for Dr. Shawn A. Birchenough's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Shawn A. Birchenough
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Shawn A. Birchenough's NPI number?
Dr. Shawn A. Birchenough's NPI number is 1518172972. It was assigned on May 11, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Shawn A. Birchenough?
Dr. Shawn A. Birchenough is a plastic and reconstructive surgery physician in Spartanburg, South Carolina. The primary specialty in the NPI Registry is Plastic and Reconstructive Surgery Physician (taxonomy code 2086S0122X).
Where does Dr. Shawn A. Birchenough practice?
Dr. Birchenough practices at 391 Serpentine Dr Suite 330, Spartanburg, SC 29303. Dr. Birchenough's primary practice is Spartanburg Surgery Center in Spartanburg, South Carolina. Dmand AI also links Dr. Birchenough to 1 hospital, 1 physician office and 1 group practice or clinic.
What is Dr. Shawn A. Birchenough's office phone number?
The practice phone on file for Dr. Birchenough is (864) 585-2002.
What is Dr. Shawn A. Birchenough's medical license number?
Dr. Birchenough holds South Carolina license 31645, one of the licenses on file in 3 states.
Which states has Dr. Shawn A. Birchenough been licensed in?
Dmand AI has state licenses on file for Dr. Birchenough in South Carolina (2009 to 2027), Tennessee (2008 to 2009) and Virginia (2002 to 2009).
Which hospitals is Dr. Shawn A. Birchenough affiliated with?
Dr. Birchenough is affiliated with Spartanburg Medical Center. Dmand AI links Dr. Birchenough to 1 more hospital.
What medical group is Dr. Shawn A. Birchenough part of?
Dr. Birchenough is linked to Medical Group of the Carolinas - Family Medicine - Converse Heights.
Does Dr. Shawn A. Birchenough accept Medicare?
Yes. CMS data shows Dr. Birchenough billed Medicare for 118 services in 2024, and Dr. Birchenough accepts Medicare assignment.
What is Dr. Shawn A. Birchenough's MIPS score?
Dr. Birchenough's MIPS final score for performance year 2024 is 95 out of 100, reported through an alternative payment model (APM).
Show 10 more questionsShow fewer questions
How many Medicare patients does Dr. Shawn A. Birchenough see?
CMS counts 113 Medicare patients who saw Dr. Birchenough in 2024, with an average age of 76.
Is Dr. Shawn A. Birchenough board certified?
Yes. Dr. Birchenough is board certified in plastic surgery by the American Board of Plastic Surgery.
What services does Dr. Shawn A. Birchenough bill to Medicare?
In 2024, Dr. Birchenough's most billed Medicare services were office visit, new patient (99203), office visit, new patient (99202) and office visit, established patient (99212).
Where did Dr. Shawn A. Birchenough go to medical school?
Dr. Birchenough graduated from UVA School of Medicine in 2002.
What drugs does Dr. Shawn A. Birchenough prescribe most?
In 2024 Medicare Part D data, Dr. Birchenough's most prescribed drugs by claims were Tramadol HCl, Cephalexin and Ondansetron HCl.
Has Dr. Shawn A. Birchenough received payments from drug or device companies?
CMS Open Payments shows $17,587 in general payments to Dr. Birchenough from 26 companies from 2016 to 2025. The largest total came from Allergan Inc.
How long has Dr. Shawn A. Birchenough been practicing?
Dr. Birchenough graduated from medical school in 2002, 24 years ago.
Does Dr. Shawn A. Birchenough do research?
Dmand AI links 5 publications to Dr. Birchenough.
Who does Dr. Shawn A. Birchenough publish with?
Dr. Birchenough's most frequent co-authors are Thomas J. Gampper (2 shared papers).
What insurance does Dr. Shawn A. Birchenough accept?
Dr. Birchenough is in network with 19 carriers, including Elevance, United Healthcare and Cigna. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
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