DONALD PAUL SHACKELFORD MD
NPI 1174581284
Obstetrics & Gynecology - Critical Care Medicine in Greenville, NC

Q: What is Donald Shackelford's NPI number?

The NPI number for Donald Shackelford is 1174581284. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Donald Shackelford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Critical Care Medicine, with taxonomy code 207VC0200X.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 847-2273 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Donald Paul Shackelford Md NPPES

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

DONALD PAUL SHACKELFORD MD (NPI 1174581284) is an individual critical care medicine provider in Greenville, North Carolina, licensed in North Carolina (9501090) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Wake Forest University School Of Medicine (1991).

NPPES Registry Identity

NPI1174581284

Entity TypeIndividualMale

Primary Taxonomy207VC0200X

Provider Legal NameDONALD PAUL SHACKELFORDCredential: MD

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 847-2273

Phone(252) 847-2273

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 1991

Enumeration DateMay 1, 2006

Last NPPES UpdateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1174581284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VC0200X

License✔ Licensed in NC · 9501090

Definition

An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

2100 STANTONSBURG RD, Greenville, NC 27834

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Other Identifiers 1

Medicaid891205UNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.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

Donald Paul Shackelford 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 ID3375582539

PECOS Enrollment IDI20050427000551

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 Donald Shackelford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vidant Medical Group LLC

Same address

Multi-Specialty

2100 STANTONSBURG RD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1477648731 (252) 847-2181

East Carolina University

0.2 mi

General Practice

600 MOYE BLVD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
930 clinicians in this Medicare group

NPI 1689815284 (252) 744-4618

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

98.33/100

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

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

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.

DR. STEPHEN ERIC GREGG M.D.

Student in an Organized Health Care Education/Training Program