DR. KEVIN R SHELLY (M.D.) – Anesthesiology Physician, NPI 1083656060

DR. KEVIN R SHELLY (M.D.) is a healthcare provider. based in Austin, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. K6504 (TX). The NPI Number for DR. KEVIN R SHELLY (M.D.) is 1083656060

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN R SHELLY (M.D.)
NPI
1083656060
Phone
(512) 343-2292
Address
8140 N MOPAC EXPY BLDG III
Enumeration Date
12 June 2006
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5123432466
Graduation Year
1997 (29 years ago)
PAC ID
4284634536
Group Practice PAC ID
0547256497
Professional Enrollment ID
I20070110000295
Address ID
TX787052703AU919XXSTXX400

Contacts

Secure Messaging
kshelly1473099@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

4,592 ANESTHESIOLOGY in TX

Provider Addresses for DR. KEVIN R SHELLY (M.D.)

  • 8140 N MOPAC EXPY BLDG III

    SUITE 210

    AUSTIN, TX 787598837

    Phone: (512) 343-2292

    Fax: (512) 343-2745

    Type: Mailing

  • 4408 LONG CHAMP DR APT 23

    AUSTIN, TX 787461186

    Phone: (512) 680-1073

    Type: Mailing

  • 810 W HIGHWAY 71

    MARBLE FALLS, TX 786548602

    Phone: (830) 201-8000

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-08

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
I20070110000295IAnesthesiologyTXTBD
I20250805003270IAnesthesiologyCOTBD
I20250808002931IAnesthesiologyMETBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
01402Anesthesia for procedure for total knee joint replacement1717$0
01922Anesthesia for x-ray or radiation therapy1414$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1212$0
00914Anesthesia for removal of prostate including use of an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 78759)

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Provider's Procedures

DR. KEVIN R SHELLY (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYTX01402Anesthesia for open or endoscopic total knee joint replacement1111
ANESTHESIOLOGYTX76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1212

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: 0547256497View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Pain Management, AnesthesiologyTX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX
Anesthesiology AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

How is DR. KEVIN R SHELLY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN R SHELLY (M.D.) with NPI 1083656060.
Is DR. KEVIN R SHELLY (M.D.) listed as active for patients and plans?
The listing shows DR. KEVIN R SHELLY (M.D.) as active in the NPI system.
What is DR. KEVIN R SHELLY (M.D.) best known for clinically?
Directory data describes DR. KEVIN R SHELLY (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KEVIN R SHELLY (M.D.) on a map?
Expect Austin, Texas as a primary anchor for DR. KEVIN R SHELLY (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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