THOMAS M. SHELBURNE M.D.
NPI 1164538567
Family Medicine in Jonesville, NC

Q: What is Thomas Shelburne's NPI number?

The NPI number for Thomas Shelburne is 1164538567. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Thomas Shelburne's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Shelburne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 21, 2006PECOS EnrolledAccepts Medicare Assignment

4000 S SWAIM STREET EXT, JONESVILLE, NC 28642(336) 835-6300(336) 835-4761 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas M. Shelburne M.d. NPPES

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

THOMAS M. SHELBURNE M.D. (NPI 1164538567) is an individual family medicine provider in Jonesville, North Carolina, licensed in North Carolina (23771) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1977).

NPPES Registry Identity

NPI1164538567

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS M. SHELBURNECredential: M.D.

Location Address4000 S SWAIM STREET EXTJonesville, NC 28642-9418

Mailing Address4000 S Swaim Street ExtJonesville, NC 28642-9418 · (336) 835-6300 · Fax (336) 835-4761

Phone(336) 835-6300

Fax(336) 835-4761

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1977

Enumeration DateAugust 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164538567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 23771

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.

4000 S SWAIM STREET EXT, Jonesville, NC 28642

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Other Identifiers 9

Other38902NC · Medcost

Other2485NC · Partners

Medicaid8975599NC

Other4254883NC · Aetna

Medicare UPINC89484NC

Medicare ID-Type Unspecified210357ANC

Medicare ID-Type Unspecified080018216NC · Railroad Medicare

Other75599NC · Bcbsnc

Medicare ID-Type Unspecified210357NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Thomas M. Shelburne 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 ID9436043767

PECOS Enrollment IDI20040426000833

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 2

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.

38 services36 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.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28642 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 3

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

6 suppliers22 claims50 services$5.22 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 suppliers26 claims26 services$103.77 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 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 13

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

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