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SHELTON KNUDSEN DO
NPI 1104263425
Emergency Medicine in Tulsa, OK

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2021, May 11, 2017, Apr 13, 2017 (3 updates tracked since 2017).

About Shelton Knudsen Do NPPES

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

SHELTON KNUDSEN DO (NPI 1104263425) is an individual emergency medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (5582) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104263425
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHELTON KNUDSENCredential: DO
Location Address744 W 9TH STTulsa, OK 74127-9020
Mailing Address2906 N 17th StBroken Arrow, OK 74012-9568 · (405) 808-3214
Phone(918) 599-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 28, 2013
Last NPPES UpdateApril 12, 20213 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1104263425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OK · 5582✔ Licensed in AR · E-9687
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
744 W 9TH ST, Tulsa, OK 74127
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.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

Shelton Knudsen Do 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 ID1052531647
PECOS Enrollment IDI20141002001001
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 Shelton Knudsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integris Ambulatory Care Corporation
95 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298
Emergency Services Of Oklahoma PC
103 mi
Emergency Medicine
901 N PORTER AVE
Norman, OK 73071
  • Reassigned Medicare billing, Oklahoma enrollment
  • 418 clinicians in this Medicare group
NPI 1215249891 (925) 924-1600

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
363 services351 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
104 services104 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services23 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74127 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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.

DEREK SROUJI
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (405) 323-9423
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST
Clinic/Center (Medical Specialty)
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
DR. LEILA DANIELLE SEE D.O.
Radiology (Diagnostic Radiology)
744 W 9TH ST
TULSA, OK 74127
Osage County (981) 599-5031
WILLIAM BARRETT
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000
DR. JUDITH WOLFSTEIN M.D.
Radiology (Diagnostic Radiology)
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 728-6194
KIMBERLIE K DULLYE MD
Anesthesiology
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
MR. SEAN WILLIAM MEADOWS R.D.
Dietitian, Registered
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 587-2561
ALEXANDER DOUGLAS
Student in an Organized Health Care Education/Training Program
744 W 9TH ST
TULSA, OK 74127
Osage County (918) 599-1000

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 Shelton Knudsen's NPI number?

The NPI number for Shelton Knudsen is 1104263425. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Shelton Knudsen located?

Shelton Knudsen practices at 744 W 9th St, Tulsa, OK 74127. The listed phone number is (918) 599-1000.

What is Shelton Knudsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shelton Knudsen enrolled in Medicare?

Yes. Shelton Knudsen 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 Shelton Knudsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelton Knudsen reassigns Medicare benefits to 2 organizations: Integris Ambulatory Care Corporation (Oklahoma City, OK) and Emergency Services Of Oklahoma PC (Norman, OK). 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 Shelton Knudsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelton Knudsen accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Shelton Knudsen 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 Shelton Knudsen affiliated with any hospitals?

According to CMS data, Shelton Knudsen is affiliated with Integris Baptist Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shelton Knudsen was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.