DR. ANTHONY LEE SHELTON – Internal Medicine Physician, NPI 1992365597

DR. ANTHONY LEE SHELTON is a healthcare provider. based in Moore, Oklahoma. specializing in PEDIATRIC MEDICINE. They hold a License No. 34719 (OK). The NPI Number for DR. ANTHONY LEE SHELTON is 1992365597

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY LEE SHELTON
NPI
1992365597
Phone
(580) 399-2623
Address
1216 RIDGEWAY DR
Enumeration Date
17 June 2019
Last Update Date
18 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5804365111
Graduation Year
2019 (7 years ago)
PAC ID
4688094006
Group Practice PAC ID
9931189685
Professional Enrollment ID
I20230808003106
Address ID
OK748207484AD304XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

261 PEDIATRIC MEDICINE in OK

Provider Addresses for DR. ANTHONY LEE SHELTON

  • 1216, Ridgeway Drive, Moore, Cleveland County, Oklahoma, 73160, United States

    MOORE, OK 731602643

    Phone: (580) 399-2623

    Type: Mailing

  • 1200 CHILDRENS AVE STE 14046

    OKLAHOMA CITY, OK 731044637

    Phone: (405) 271-4417

    Type: Location

  • 1214 ARLINGTON ST

    ADA, OK 748204045

    Phone: (580) 436-5111

    Fax: (580) 436-1159

    Type: Location

  • 527 W 3RD ST

    KONAWA, OK 748491415

    Phone: (580) 925-3286

    Fax: (580) 925-2362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2023-05-22 • Largest payer in this snapshot: Organon LLC ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$42
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: 2023-08-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230808003106IPediatric MedicineOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73160)

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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: 9931189685View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Family PracticeOK
Family Practice, Osteopathic Manipulative Medicine, Sports MedicineOK
Family PracticeOK
Nurse PractitionerOK
Physician AssistantOK
Endocrinology, Internal MedicineOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How is DR. ANTHONY LEE SHELTON identified in CMS data?
CMS-hosted NPPES data lists DR. ANTHONY LEE SHELTON with NPI 1992365597.
Does the file indicate DR. ANTHONY LEE SHELTON is practicing under active NPI?
Directory data currently reports DR. ANTHONY LEE SHELTON as active.
What taxonomy line describes DR. ANTHONY LEE SHELTON?
For research purposes, treat DR. ANTHONY LEE SHELTON as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANTHONY LEE SHELTON?
DR. ANTHONY LEE SHELTON's geographic hint is Moore, Oklahoma in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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