SCOTT SHELTON D.O.
NPI 1134565682
Family Medicine in Jackson, MI

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
400 HINCKLEY BLVD STE 100, JACKSON, MI 49203(517) 784-0588(517) 784-3866 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2021, Feb 9, 2017 (2 updates tracked since 2017).

About Scott Shelton D.o. NPPES

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

SCOTT SHELTON D.O. (NPI 1134565682) is an individual family medicine provider in Jackson, Michigan, licensed in Michigan (5101020357) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of West Virginia School Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1134565682
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT SHELTONCredential: D.O.
Location Address400 HINCKLEY BLVD STE 100Jackson, MI 49203-6152
Mailing Address205 N East Ave, Henry Ford Allegiance HealthJackson, MI 49201-1753
Fax(517) 784-3866
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 10, 2013
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1134565682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101020357
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 HINCKLEY BLVD STE 100, Jackson, MI 49203

Accepted 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

Scott 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 ID5890939342
PECOS Enrollment IDI20161005002724
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 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.
315 services161 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.
139 services81 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
37 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49203 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers47 claims86 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims21 services$1.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers14 claims27 services$1.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$90.92 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 9

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

Nurse Practitioner
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Physician Assistant
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Physician Assistant
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Nurse Practitioner (Family)
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203
Physician Assistant
400 HINCKLEY BLVD STE 100
JACKSON, MI 49203

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 Shelton's NPI number?

The NPI number for Scott Shelton is 1134565682. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Scott Shelton located?

Scott Shelton practices at 400 Hinckley Blvd Ste 100, Jackson, MI 49203. The listed phone number is (517) 784-0588.

What is Scott Shelton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Shelton enrolled in Medicare?

Yes. Scott 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 Scott Shelton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Scott 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 Scott Shelton affiliated with any hospitals?

According to CMS data, Scott Shelton is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Scott Shelton was last updated on February 16, 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.