THOMAS M. SHELBURNE M.D.
NPI 1164538567
Family Medicine in Jonesville, NC
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
Specialties & Licenses
Other Identifiers 9
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Shelburne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jonesville, NC 28642
- Reassigned Medicare billing, North Carolina enrollment
- 583 clinicians in this Medicare group
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 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.
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.
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.
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.
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 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.
Where is Thomas Shelburne located?
Thomas Shelburne practices at 4000 S Swaim Street Ext, Jonesville, NC 28642. The listed phone number is (336) 835-6300.
What is Thomas Shelburne's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Shelburne enrolled in Medicare?
Yes. Thomas Shelburne 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 organization bills Medicare for Thomas Shelburne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shelburne reassigns Medicare benefits to Wake Forest Health Network LLC (Jonesville, NC). The 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 Thomas Shelburne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Shelburne accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Thomas Shelburne 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.
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.