SHELBY D RIFKIN (MD) – Hematology & Oncology Physician, NPI 1639166481

SHELBY D RIFKIN (MD) is a healthcare provider. based in Jefferson city, Missouri. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 036-043437 (IL). The NPI Number for SHELBY D RIFKIN (MD) is 1639166481

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY D RIFKIN (MD)
NPI
1639166481
Phone
(573) 632-4800
Address
PO BOX 1128
Enumeration Date
5 October 2005
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126337292
Graduation Year
1969 (57 years ago)
PAC ID
8123928306
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20150609001683
Address ID
IL606123714CH1901XSTXX400

Contacts

Secure Messaging
shelby.rifkin@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

310 HEMATOLOGY/ONCOLOGY in MO

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Provider Addresses for SHELBY D RIFKIN (MD)

  • Jefferson City Post Office, East Old Andrew Johnson Highway, Jefferson City, Jefferson County, East Tennessee, Tennessee, 37760, United States

    JEFFERSON CITY, MO 651021128

    Phone: (573) 632-4800

    Fax: (573) 632-5874

    Type: Mailing

  • Goldschmidt Cancer Center, 1432, Southwest Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651092444

    Phone: (573) 632-4800

    Fax: (573) 632-5874

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Adaptive Biotechnologies Corporation ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141112002326IHematology/OncologyTNTBD
I20150609001683IHematology/OncologyILTBD
I20161108000194IHematology/OncologyWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2726$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 65102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Physician AssistantIL

Reviews

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Frequently asked questions

Is there an official ID for SHELBY D RIFKIN (MD) in U.S. healthcare records?
The official identifier for SHELBY D RIFKIN (MD) is NPI 1639166481.
Active or inactive — what applies to SHELBY D RIFKIN (MD)?
You should see SHELBY D RIFKIN (MD) as active in CMS-hosted NPPES data.
What area of care is associated with SHELBY D RIFKIN (MD)?
SHELBY D RIFKIN (MD)'s record emphasizes Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is SHELBY D RIFKIN (MD) associated with Jefferson City?
Public fields place SHELBY D RIFKIN (MD) around Jefferson City, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SHELBY D RIFKIN (MD) is noted as October 5, 2005 where the registry provides it.

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