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DR. JUSTIN ALAN SHELTON D.O.
NPI 1124432273
Obstetrics & Gynecology in Clackamas, OR

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
56.66/100
CMS Quality Rating
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-2946(503) 571-2683 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Alan Shelton D.o. NPPES

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

DR. JUSTIN ALAN SHELTON D.O. (NPI 1124432273) is an individual obstetrics & gynecology provider in Clackamas, Oregon, licensed in Oregon (DO187426) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1124432273
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUSTIN ALAN SHELTONCredential: D.O.
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (503) 571-2946 · Fax (503) 571-2683
Phone(503) 571-2946
Fax(503) 571-2683
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014
Enumeration DateJune 17, 2014
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1124432273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OR · DO187426✔ Licensed in WA · OP70010381
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10100 SE SUNNYSIDE RD, Clackamas, OR 97015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Dr. Justin Alan Shelton 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 ID4183970973
PECOS Enrollment IDI20180710000656
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 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.

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.
43 services30 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.
40 services30 patients
Detection test for candida species (yeast), direct probe technique 87480
The detection test for Candida species uses a direct probe technique. This is a lab test where a sample is taken from your body, typically from the mouth or skin. The sample is then examined under a microscope to identify the presence of Candida, a type of yeast that can cause infection.
11 services11 patients
Detection test for gardnerella vaginalis (bacteria), direct probe technique 87510
This test helps find a certain type of bacteria called Gardnerella vaginalis. The direct probe technique uses a small sample from your body. This sample is then examined in a lab to see if this bacteria is present. This helps in identifying and treating any related health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

56.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.87
Improvement Activities0
Cost81.04

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.

LOREN EDWARD JENKINS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
JENNIFER MATTSON M.D.
Internal Medicine (Cardiovascular Disease)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
HEATHER BUFFORD CRUMMETT M.D.
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, MOUNT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 571-8163
MRS. TAMI RACHEL COCHRAN PTA
Physical Therapy Assistant
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 666-7736
CANDY CHAU
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (866) 280-1228
HEATHER CAREY RN
Registered Nurse (Ambulatory Care)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
ALLYSON ADAMS
Family Medicine
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
KELLY ELIZABETH JACKSON PT, DPT
Physical Therapist (Orthopedic)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000

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 Justin Shelton's NPI number?

The NPI number for Justin Shelton is 1124432273. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Justin Shelton located?

Justin Shelton practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-2946.

What is Justin Shelton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Justin Shelton enrolled in Medicare?

Yes. Justin 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.

What insurance does Justin Shelton accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Justin 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 Justin Shelton affiliated with any hospitals?

According to CMS data, Justin Shelton is affiliated with Asante Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Shelton was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.