CHARLES I SHELTON JR. D.O.
NPI 1023111697
Psychiatry & Neurology - Psychiatry in Lexington, KY

Q: What is Charles Shelton's NPI number?

The NPI number for Charles Shelton is 1023111697. It was assigned to this individual provider in the NPPES registry on September 7, 2006. The provider is also known as Charles I Shelton D.O..

Q: What is Charles Shelton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Charles Shelton was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1350 BULL LEA RD, LEXINGTON, KY 40511(859) 246-8000(859) 246-8043 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Charles I Shelton Jr. D.o. NPPES

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

CHARLES I SHELTON JR. D.O. (NPI 1023111697) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (02282) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1023111697

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameCHARLES I SHELTON JR.Credential: D.O.

Location Address1350 BULL LEA RDLexington, KY 40511-1247

Mailing Address1350 Bull Lea RdLexington, KY 40511-1247 · (859) 246-8000 · Fax (859) 246-8043

Phone(859) 246-8000

Fax(859) 246-8043

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1989

Enumeration DateSeptember 7, 2006

Last NPPES UpdateSeptember 24, 2014

✔ NPI 1023111697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in KY · 02282

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1350 BULL LEA RD, Lexington, KY 40511

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Other Names 1

Other Name (5)Charles I Shelton D.o.

Other Identifiers 3

Other02282KY · License Number

Other011071OH · State Medical Board Of Ohio

Medicare UPINF15674

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles I Shelton Jr. D.o. 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 ID7315169018

PECOS Enrollment IDI20141113000776

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

237 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

137 services18 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

SAMUEL ADAM CUNDIFF PA-C

Physician Assistant