EDDIE G II SHELL (MD) – Diagnostic Radiology Physician, NPI 1114904240

EDDIE G II SHELL (MD) is a healthcare provider. based in San angelo, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. L0593 (TX). The NPI Number for EDDIE G II SHELL (MD) is 1114904240

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
EDDIE G II SHELL (MD)
NPI
1114904240
Phone
(325) 658-1511
Address
120 E BEAUREGARD AVE
Enumeration Date
29 December 2005
Last Update Date
16 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
3257476741
Graduation Year
1997 (29 years ago)
PAC ID
9032189501
Group Practice PAC ID
0840103727
Professional Enrollment ID
I20040730000619
Address ID
TX769030000SA120XXHARR300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for EDDIE G II SHELL (MD)

  • East Beauregard Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States

    SAN ANGELO, TX 769035919

    Phone: (325) 658-1511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Cook Medical LLC ($58).

Total Amount

$108

General + Research + Ownership

Payments

4

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

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: 2004-07-30

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
I20040730000619IDiagnostic RadiologyTXTBD

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
77080Dxa bone density measurement of hip, pelvis, spine533533$0
71045X-ray of chest, 1 view505438$0
70450Ct scan head or brain without contrast314290$0
77063Screening 3d breast mammography284284$0
77067Screening mammography284284$0
View full utilization report →

Insurance plans in this area (ZIP 76903)

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Provider's Procedures

EDDIE G II SHELL (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX62311Injections of substances into lower or sacral spine1412
DIAGNOSTIC RADIOLOGYTX71250CT scan chest6563
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views1211
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views5956
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast2525
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1616

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: 0840103727View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
-TX
-OR
-TX
G A S T R O E N T E R O L O G YTX
A N E S T H E S I O L O G YTX
-TX
-TX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

How is EDDIE G II SHELL (MD) identified in CMS data?
CMS-hosted NPPES data lists EDDIE G II SHELL (MD) with NPI 1114904240.
Is EDDIE G II SHELL (MD) still practicing?
EDDIE G II SHELL (MD) is currently listed as active in the public NPI registry.
What is EDDIE G II SHELL (MD) best known for clinically?
Directory data describes EDDIE G II SHELL (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for EDDIE G II SHELL (MD)?
EDDIE G II SHELL (MD)'s geographic hint is San Angelo, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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