JEFFREY B SHACKELTON (M.D.) – Dermatology Physician, NPI 1699902726
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
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Provider Addresses for JEFFREY B SHACKELTON (M.D.)
640, West Moana Lane, Reno, Washoe County, Nevada, 89509, United States
RENO, NV 89509
Phone: (775) 324-0699
Fax: (775) 323-6814
Type: Location
3950 G S RICHARDS BLVD
CARSON CITY, NV 89703
Phone: (775) 882-8777
Fax: (775) 283-4081
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $902.
Total Amount is formed as General ($902) + Research ($0) + Ownership ($0) = $902.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($321).
Total Amount
$902
General + Research + Ownership
Payments
43
Total payment records
General Amount
$902
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $321 |
| E.R. Squibb & Sons, L.L.C. | $193 |
| UCB, Inc. | $98 |
| GENZYME CORPORATION | $76 |
| LEO Pharma Inc. | $71 |
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: 2022-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20130730000162 | I | Dermatology | NV | TBD |
| I20200813002735 | I | Dermatology | ID | TBD |
| I20200817002210 | I | Dermatology | AK | TBD |
| I20200908002646 | I | Dermatology | WA | TBD |
| I20211130001192 | I | Pathology | TX | TBD |
| I20220201001190 | I | Dermatology | OR | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 9,888 | 5,960 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 997 | 854 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 614 | 417 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 383 | 51 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 290 | 206 | $0 |
Insurance plans in this area (ZIP 89509)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NV | 88342 | Tissue or cell analysis by immunologic technique | 384 | 316 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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