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WILLIAM SHELTON JR. MD
NPI 1174013825
Family Medicine - Adult Medicine in Chattanooga, TN

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
975 E 3RD ST, CHATTANOOGA, TN 37403(423) 778-5198 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2021, May 17, 2018 (2 updates tracked since 2018).

About William Shelton Jr. Md NPPES

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

WILLIAM SHELTON JR. MD (NPI 1174013825) is an individual adult medicine provider in Chattanooga, Tennessee, licensed in Tennessee (63092) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1174013825
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameWILLIAM SHELTON JR.Credential: MD
Location Address975 E 3RD STChattanooga, TN 37403-2173
Mailing Address975 E 3rd StChattanooga, TN 37403-2173
Phone(423) 778-5198
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1174013825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TN · 63092
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
975 E 3RD ST, Chattanooga, TN 37403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., UnitedHealthcare.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

William Shelton Jr. Md 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 ID749539567
PECOS Enrollment IDI20210803001109
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
215 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
138 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
93 services90 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
60 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 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.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

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.

MEGAN A SPEARS CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
TENNESSEE CANCER SPECIALISTS, PLLC
Internal Medicine (Hematology & Oncology)
975 E 3RD ST, ERLINGER MEDICAL CENTER
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7977
DAVID SHVED D.O.
Hospitalist
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5179
JASON DEDEKER MD
Psychiatry & Neurology (Psychiatry)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7000
WILLIAM MICHAEL BRITT JR.
Internal Medicine
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-3894
MR. EDWARD BRIAN HALLOCK CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
MRS. DEBORAH K WESTBROOK L.C.S.W.
Social Worker (Clinical)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7654
BRETT ESCARZA M.D.
Anesthesiology
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400

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 William Shelton's NPI number?

The NPI number for William Shelton is 1174013825. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is William Shelton located?

William Shelton practices at 975 E 3rd St, Chattanooga, TN 37403. The listed phone number is (423) 778-5198.

What is William Shelton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is William Shelton enrolled in Medicare?

Yes. William 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 William Shelton accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list William 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 William Shelton affiliated with any hospitals?

According to CMS data, William Shelton is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for William Shelton was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.