SHELBY E REAL (PAC) – Physician Assistant, NPI 1720557374
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for SHELBY E REAL (PAC)
973 MICA DR STE 201
CARSON CITY, NV 897057258
Phone: (775) 783-6190
Type: Location
973 MICA DRIVE
SUITE 201
CARSON CITY, NV 897057258
Phone: (775) 783-6190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $653.
Total Amount is formed as General ($653) + Research ($0) + Ownership ($0) = $653.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Nevro Corp. ($215).
Total Amount
$653
General + Research + Ownership
Payments
26
Total payment records
General Amount
$653
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $215 |
| Abbott Laboratories | $214 |
| SCILEX PHARMACEUTICALS INC. | $85 |
| Saluda Medical Americas, Inc. | $50 |
| ABBVIE INC. | $45 |
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: 2019-01-03
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 |
|---|---|---|---|---|
| I20190103002343 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,312 | 344 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 542 | 315 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 523 | 308 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 204 | 128 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 188 | 187 | $0 |
Insurance plans in this area (ZIP 89705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NV | |
| D E R M A T O L O G Y | NV | |
| D E R M A T O L O G Y | NV |
Reviews
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