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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN JAMES SHEFFERLY MMS IN PA STUDIES
NPI 1184100901
Physician Assistant in Winston Salem, NC

Active since July 15, 2018PECOS EnrolledAccepts Medicare Assignment
85.84/100
CMS Quality Rating
110 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 768-3361 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Jul 15, 2018 (2 updates tracked since 2018).

About Kevin James Shefferly Mms In Pa Studies NPPES

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

KEVIN JAMES SHEFFERLY MMS IN PA STUDIES (NPI 1184100901) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-08249) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184100901
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN JAMES SHEFFERLYCredential: MMS IN PA STUDIES
Location Address110 CHARLOIS BLVDWinston Salem, NC 27103-1522
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468
Phone(336) 768-3361
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 15, 2018
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1184100901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-08249
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
110 CHARLOIS BLVD, Winston Salem, NC 27103
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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

Kevin James Shefferly Mms In Pa Studies 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 ID6204174675
PECOS Enrollment IDI20190208002902
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.

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$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.

85.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.33
Promoting Interoperability99
Improvement Activities40
Cost86.32

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.

MR. RONALD BERNARD SHEALY MD
Otolaryngology
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
WILLIAM COOPER SCURRY JR. M.D.
Otolaryngology
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
MARTHA ANN SCHULTZ PA
Physician Assistant
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
JOSHUA LEE HEMRIC PA-C
Physician Assistant
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
DR. KATHRYN YOUNG AUD
Audiologist
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
DR. AMANDA ADAMS ARY AU.D., CCC-A, F-AAA
Audiologist
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-0886
JOHN ANDREW CRENSHAW MD
Otolaryngology
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
DR. ASHLEY ARGO AUD
Audiologist
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361

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 Kevin Shefferly's NPI number?

The NPI number for Kevin Shefferly is 1184100901. It was assigned to this individual provider in the NPPES registry on July 15, 2018.

Where is Kevin Shefferly located?

Kevin Shefferly practices at 110 Charlois Blvd, Winston Salem, NC 27103. The listed phone number is (336) 768-3361.

What is Kevin Shefferly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Shefferly enrolled in Medicare?

Yes. Kevin Shefferly 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.

Is Kevin Shefferly affiliated with any hospitals?

According to CMS data, Kevin Shefferly is affiliated with Novant Health Forsyth Medical Center and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Shefferly was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.