RACHEL SHELTON (M.D.) – Surgery Physician, NPI 1215061304
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
Provider Addresses for RACHEL SHELTON (M.D.)
284 WAITSBORO DRIVE
SOMERSET, KY 42503
Phone: (606) 425-6002
Type: Mailing
350 HOSPITAL WAY
SUITE 270
SOMERSET, KY 425032872
Phone: (606) 425-4298
Fax: (606) 425-4299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $328.
Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Reapplix Inc. ($109).
Total Amount
$328
General + Research + Ownership
Payments
15
Total payment records
General Amount
$328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Reapplix Inc. | $109 |
| Organogenesis Inc. | $84 |
| Smith+Nephew, Inc. | $33 |
| Kerecis Limited | $27 |
| Integra LifeSciences Corporation | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080723000410 | I | General Surgery | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 577 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 261 | 91 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 156 | 65 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 95 | 53 | $0 |
| 17250 | Application of chemical to stop tissue regrowth in wound | 80 | 33 | $0 |
Insurance plans in this area (ZIP 42503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | KY | |
| Vascular Surgery | IN | |
| - | MN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | TN | |
| Emergency Medicine | KY |
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