MR. JONATHAN RICHARD SHELTON (PA) – Physician Assistant, NPI 1063859544

MR. JONATHAN RICHARD SHELTON (PA) is a healthcare provider. based in Wytheville, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110004242 (VA). The NPI Number for MR. JONATHAN RICHARD SHELTON (PA) is 1063859544

Main info

Male
13 Years Of Experience
Name
MR. JONATHAN RICHARD SHELTON (PA)
NPI
1063859544
Phone
(276) 227-0967
Address
1787 W LEE HWY
Enumeration Date
24 May 2013
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407724448
Graduation Year
2013 (13 years ago)
PAC ID
4880837194
Group Practice PAC ID
4284637695
Professional Enrollment ID
I20130905000002
Address ID
VA240183528RO2726XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MR. JONATHAN RICHARD SHELTON (PA)

  • 1787 W LEE HWY

    WYTHEVILLE, VA 243821437

    Phone: (276) 227-0967

    Fax: (276) 227-0956

    Type: Mailing

  • 1787 W Lee Hwy

    Wytheville, VA 243821437

    Phone: (276) 227-0967

    Fax: (276) 227-0956

    Type: Location

  • 58 Carroll Street

    Lebanon, VA 242664510

    Phone: (276) 883-8000

    Type: Location

  • 16000 Johnston Memorial Dr

    Abingdon, VA 242117664

    Phone: (276) 258-1000

    Type: Location

  • 245 MEDICAL PARK DR STE B

    MARION, VA 243541100

    Phone: (276) 378-1000

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Boston Scientific Corporation ($182).

Total Amount

$370

General + Research + Ownership

Payments

21

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2013-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (982 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
I20130905000002IPhysician AssistantVA2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
J1100Injection, dexamethasone sodium phosphate, 1 mg3,46191$0
99214Established patient office or other outpatient visit, 30-39 minutes1,623192$0
J1885Injection, ketorolac tromethamine, per 15 mg1,10876$0
96372Injection of drug or substance under skin or into muscle27077$0
20553Injection of trigger points, 3 or more muscles3111$0
View full utilization report →

Insurance plans in this area (ZIP 24382)

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Provider's Procedures

MR. JONATHAN RICHARD SHELTON (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA20610Aspiration and/or injection of large joint or joint capsule609220
PHYSICIAN ASSISTANTVA73562X-ray of knee, 3 views6250

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: 4284637695View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
Nurse PractitionerTN
Interventional Pain Management, AnesthesiologyVA
Nurse PractitionerVA
Physician AssistantNC
Physical Medicine And RehabilitationVA
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA

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Frequently asked questions

What unique ID ties claims to MR. JONATHAN RICHARD SHELTON (PA)?
NPI 1063859544 is assigned to MR. JONATHAN RICHARD SHELTON (PA) under the national enumeration system.
Is MR. JONATHAN RICHARD SHELTON (PA)'s NPI currently valid?
The extract we use shows MR. JONATHAN RICHARD SHELTON (PA) as active.
Does MR. JONATHAN RICHARD SHELTON (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. JONATHAN RICHARD SHELTON (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JONATHAN RICHARD SHELTON (PA)?
The page summarizes Wytheville, Virginia for MR. JONATHAN RICHARD SHELTON (PA); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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