SHELBI BOLTON (DO) – Family Medicine Physician, NPI 1487277885
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for SHELBI BOLTON (DO)
14656 STATE HIGHWAY 110 N
JACKSONVILLE, TX 757667391
Phone: (903) 721-3789
Type: Mailing
2114 E RUSK ST
JACKSONVILLE, TX 757669052
Phone: (903) 284-6105
Type: Location
11937 US HIGHWAY 271
TYLER, TX 757083154
Phone: (903) 877-7253
Type: Mailing
2026 S Jackson St
Jacksonville, TX 757665822
Phone: (903) 541-4578
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $284.
Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($150).
Total Amount
$284
General + Research + Ownership
Payments
24
Total payment records
General Amount
$284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-03-15
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 |
|---|---|---|---|---|
| I20240315002917 | I | Family Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75766)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX | |
| General Practice, Sports Medicine, Family Practice | TX | |
| Family Practice | TX |
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