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DR. THOMAS MAXWELL SHELTON M.D.
NPI 1013449032
Urology in Indianapolis, IN

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
1801 N SENATE BLVD SUITE 220, INDIANAPOLIS, IN 46202(317) 962-3700(317) 962-2893 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2025, Jul 11, 2024, Jul 20, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Thomas Maxwell Shelton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS MAXWELL SHELTON M.D. (NPI 1013449032) is an individual urology provider in Indianapolis, Indiana, licensed in Indiana (01087413A) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013449032
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. THOMAS MAXWELL SHELTONCredential: M.D.
Location Address1801 N SENATE BLVD SUITE 220Indianapolis, IN 46202
Mailing Address535 Barnhill Dr # 150Indianapolis, IN 46202-5116
Phone(317) 962-3700
Fax(317) 962-2893
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateMarch 8, 20254 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
✔ NPI 1013449032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IN · 01087413A
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1801 N SENATE BLVD SUITE 220, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11430 Tulane Ave # 8622New Orleans, LA 70112-2632 · Phone (504) 988-7123 · Fax (504) 988-4762
Location 21115 Ronald Reagan PkwyAvon, IN 46123-6910 · Phone (317) 962-3700
Location 31701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Maxwell Shelton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052799855
PECOS Enrollment IDI20220617001271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Shelton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC
0.1 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
University Urologists, Inc., PC
1.4 mi
Urology
535 BARNHILL DR STE 420
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 55 clinicians in this Medicare group
NPI 1104877141 (317) 278-1979

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Complete laser fragmentation of prostate including control of bleeding using an endoscope 52649
This procedure involves using a special scope and a laser to break down an enlarged gland in the lower body, improving comfort and function. It also includes managing any bleeding that may occur during this process.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services13 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
14 services14 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHAN L FERGUSON MD
Urology
1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
Marion County (317) 962-3700
DR. KEVIN RICHARD RICE M.D.
Urology
1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
Marion County (317) 962-3700
MARCELINO E RIVERA M.D.
Urology
1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
Marion County (317) 962-3700
MARY JO HAWKINS NP
Nurse Practitioner
1801 N SENATE BLVD SUITE 220
INDIANAPOLIS, IN 46202
Marion County (317) 962-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Shelton's NPI number?

The NPI number for Thomas Shelton is 1013449032. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Thomas Shelton located?

Thomas Shelton practices at 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202. The listed phone number is (317) 962-3700.

What is Thomas Shelton's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Shelton enrolled in Medicare?

Yes. Thomas Shelton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shelton reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and University Urologists, Inc., PC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Shelton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Thomas Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Shelton affiliated with any hospitals?

According to CMS data, Thomas Shelton is affiliated with Eskenazi Health, Indiana University Health, Deaconess Hospital Inc, Indiana University Health North Hospital and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Shelton was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.