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SCOTT W SHELFO M.D.
NPI 1053414458
Urology in Newnan, GA

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265(770) 343-7692 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Jun 28, 2021 (2 updates tracked since 2021).

About Scott W Shelfo M.d. NPPES

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

SCOTT W SHELFO M.D. (NPI 1053414458) is an individual urology provider in Newnan, Georgia, licensed in Georgia (043479) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and is a graduate of Albany Medical College Of Union University (1991).

NPPES Registry Identity

NPI1053414458
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSCOTT W SHELFOCredential: M.D.
Location Address600 CELEBRATE LIFE PKWYNewnan, GA 30265-8001
Mailing Address204 Smokerise TrcePeachtree City, GA 30269-1378 · (770) 862-1226
Phone(770) 343-7692
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1991
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1053414458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 043479
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.
600 CELEBRATE LIFE PKWY, Newnan, GA 30265
Open in Google Maps ↗

Other Identifiers 2

Other340013925GA · Railroad Medicare
Medicaid000758788CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.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

Scott W Shelfo 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 ID7810060837
PECOS Enrollment IDI20101203000074
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

4

Medicare enrollment records show Scott Shelfo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Hope Medical Group Of Georgia LLC
Same address
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
NPI 1447520333 (847) 746-4333
Georgia Urology PA
20 mi
Urology
1267 HIGHWAY 54 W, SUITE 5200
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1407194558 (777) 046-0977
Urological Professional Services, LLC
43 mi
Urology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1033521810 (855) 709-4535
Piedmont Providers LLC
77 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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 11

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
115 services68 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.
113 services95 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.
106 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
36 services36 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims709 services$1.61 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers14 claims4,860 services$6.12 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
8 suppliers45 claims130 services$8.27 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers18 claims510 services$2.69 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers21 claims570 services$5.01 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers13 claims780 services$6.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHERYL H. MITCHAM PA
Physician Assistant
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (855) 848-5760
MAAFIA A OSEI-CHEREMEH NP
Nurse Practitioner (Family)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (770) 400-6000
CAITLIN CRAIG LOFARO
Nurse Anesthetist, Certified Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (770) 744-4809
HENRY J KREBS III M.D.
Radiology (Diagnostic Radiology)
600 CELEBRATE LIFE PKWY, CANCER TREATMENT CENTERS OF AMERICA
NEWNAN, GA 30265
Coweta County (770) 400-6008
NITIKA SHARMA M.D.
Internal Medicine (Hematology & Oncology)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (770) 400-6000
HUNTER BOWLING
Nurse Anesthetist, Certified Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (770) 744-4809
ANDRA BERNITA MATTHEWS NP
Nurse Practitioner (Acute Care)
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (770) 400-6000
ANDREA MARIE SWARTZ RD, LD
Dietitian, Registered
600 CELEBRATE LIFE PKWY
NEWNAN, GA 30265
Coweta County (770) 400-6151

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 Scott Shelfo's NPI number?

The NPI number for Scott Shelfo is 1053414458. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Scott Shelfo located?

Scott Shelfo practices at 600 Celebrate Life Pkwy, Newnan, GA 30265. The listed phone number is (770) 343-7692.

What is Scott Shelfo's specialty?

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

Is Scott Shelfo enrolled in Medicare?

Yes. Scott Shelfo 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 Scott Shelfo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Shelfo reassigns Medicare benefits to 4 organizations: City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Georgia Urology PA (Fayetteville, GA), Urological Professional Services, LLC (Atlanta, GA) and Piedmont Providers LLC (Jasper, GA). 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 Scott Shelfo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Shelfo accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Scott Shelfo 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 Scott Shelfo affiliated with any hospitals?

According to CMS data, Scott Shelfo is affiliated with Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Scott Shelfo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.