DR. MARK WAYNE SHELTON MD
NPI 1174574214
Surgery - Vascular Surgery in Nashville, TN

Q: What is Mark Shelton's NPI number?

The NPI number for Mark Shelton is 1174574214. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Mark Shelton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Mark Shelton was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 13, 2006PECOS EnrolledAccepts Medicare Assignment

84.22/100

CMS Quality Rating

393 WALLACE RD STE 301, NASHVILLE, TN 37211(615) 425-0550(615) 833-8287 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2024, Aug 30, 2023 (2 updates tracked since 2023).

On this page

About Dr. Mark Wayne Shelton Md NPPES

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

DR. MARK WAYNE SHELTON MD (NPI 1174574214) is an individual vascular surgery provider in Nashville, Tennessee, licensed in Tennessee (024579) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and is a graduate of University Of Texas Medical School At Houston (1985).

NPPES Registry Identity

NPI1174574214

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. MARK WAYNE SHELTONCredential: MD

Location Address393 WALLACE RD STE 301Nashville, TN 37211-4834

Mailing Address410 42nd Ave N Ste 400Nashville, TN 37209-3658 · (615) 329-7887 · Fax (615) 781-3882

Phone(615) 425-0550

Fax(615) 833-8287

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1985

Enumeration DateMay 13, 2006

Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1174574214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in TN · 024579

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

393 WALLACE RD STE 301, Nashville, TN 37211

Open in Google Maps ↗

Other Identifiers 1

Medicaid3730870TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Dr. Mark Wayne Shelton 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 ID6002709359

PECOS Enrollment IDI20040422001511

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Shelton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tennessee Oncology PLLC

6.9 mi

Hematology & Oncology

2004 HAYES ST STE 350
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
464 clinicians in this Medicare group

NPI 1023066149 (615) 312-3333

The Surgical Clinic PLLC

8.4 mi

Surgery

410 42ND AVE N STE 400
Nashville, TN 37209

Reassigned Medicare billing, Tennessee enrollment
48 clinicians in this Medicare group

NPI 1417983099 (615) 346-6213

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 12

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.

78 services67 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

58 services48 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.

46 services40 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

39 services29 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

33 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 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.

20 services18 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

18 services17 patients

Fusion of spine bones through front of body with partial removal of disc, each additional disc 22585

This procedure involves merging spine bones via the front of the body. A portion of each additional disc is removed to ease pressure and discomfort. This helps to stabilize the spine and improve mobility.

16 services11 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

15 services15 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440197

Location391 Wallace RdNashville, TN 37211 · Davidson County

Emergency services

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440227

Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37211 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

84.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.49

Promoting Interoperability

100

Improvement Activities

Cost

67.12

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

99%83 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

100%97 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DR. PATRICK DAVIS M.D.

Surgery

393 WALLACE RD STE 301
NASHVILLE, TN 37211

Davidson County (615) 425-0550

CLARA R. WOMACK M.D.

Internal Medicine (Nephrology)

393 WALLACE RD STE 301
NASHVILLE, TN 37211

Davidson County (615) 628-8064

MR. SUHAIL HAZIM ALLOS M. D.

Surgery

393 WALLACE RD STE 301
NASHVILLE, TN 37211

Davidson County (615) 425-0550

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 Mark Shelton's NPI number?

The NPI number for Mark Shelton is 1174574214. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Mark Shelton located?

Mark Shelton practices at 393 Wallace Rd Ste 301, Nashville, TN 37211. The listed phone number is (615) 425-0550.

What is Mark Shelton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Mark Shelton enrolled in Medicare?

Yes. Mark 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.

Which organizations bill Medicare for Mark Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Shelton reassigns Medicare benefits to 2 organizations: Tennessee Oncology PLLC (Nashville, TN) and The Surgical Clinic PLLC (Nashville, TN). Each 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 Mark Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Shelton accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Mark 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 Mark Shelton affiliated with any hospitals?

According to CMS data, Mark Shelton is affiliated with Tristar Centennial Medical Center, Tristar Southern Hills Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Shelton was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.