RACHEL SHELTON M.D.
NPI 1215061304
Surgery in Somerset, KY

Q: What is Rachel Shelton's NPI number?

The NPI number for Rachel Shelton is 1215061304. It was assigned to this individual provider in the NPPES registry on March 14, 2007. The provider is also known as Rachel Lewis.

Q: What is Rachel Shelton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Shelton was last updated on June 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment

350 HOSPITAL WAY, SUITE 270, SOMERSET, KY 42503(606) 425-4298(606) 425-4299 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rachel Shelton M.d. NPPES

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

RACHEL SHELTON M.D. (NPI 1215061304) is an individual surgery provider in Somerset, Kentucky, licensed in Ohio (57007406) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1215061304

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameRACHEL SHELTONCredential: M.D.

Location Address350 HOSPITAL WAY, SUITE 270Somerset, KY 42503-2872

Mailing Address284 Waitsboro DriveSomerset, KY 42503 · (606) 425-6002

Phone(606) 425-4298

Fax(606) 425-4299

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003

Enumeration DateMarch 14, 2007

Last NPPES UpdateJune 28, 2013

✔ NPI 1215061304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 57007406

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

350 HOSPITAL WAY, Somerset, KY 42503

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Other Names 1

Former Name (1)Rachel Lewis

Other Identifiers 1

Other00675002KY · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Rachel Shelton 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.

PECOS PAC ID143393231

PECOS Enrollment IDI20080723000410

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 7

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

557 services106 patients

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.

296 services104 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.

143 services60 patients

Application of chemical to stop tissue regrowth in wound 17250

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

86 services34 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.

47 services47 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

44 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180115

Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County

Emergency services

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180132

Location305 Langdon StreetSomerset, KY 42503 · Pulaski County

Emergency services Birthing friendly

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers27 claims1,500 services$0.10 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims493 services$0.37 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$2.61 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier13 claims325 services$0.21 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021