DR. SHIRLENE TOLBERT MOTEN M.D.
NPI 1235271040
Family Medicine in Manchester, PA

Q: What is Shirlene Moten's NPI number?

The NPI number for Shirlene Moten is 1235271040. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Shirlene Moten's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirlene Moten was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 12, 2007PECOS EnrolledAccepts Medicare Assignment

90.99/100

CMS Quality Rating

4314 N. GEORGE ST EXT'D, MANCHESTER, PA 17345(717) 266-0252(717) 266-2199 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2021, Feb 15, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Shirlene Tolbert Moten M.d. NPPES

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

DR. SHIRLENE TOLBERT MOTEN M.D. (NPI 1235271040) is an individual family medicine provider in Manchester, Pennsylvania, licensed in Pennsylvania (MD048444L) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1235271040

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHIRLENE TOLBERT MOTENCredential: M.D.

Location Address4314 N. GEORGE ST EXT'DManchester, PA 17345-1307

Mailing Address4314 N. George St Ext'dManchester, PA 17345-1307 · (717) 266-0252 · Fax (717) 266-2199

Phone(717) 266-0252

Fax(717) 266-2199

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateFebruary 12, 2007

Last NPPES UpdateMarch 5, 20214 updates tracked since enumeration

NPPES CertifiedMarch 5, 2021

✔ NPI 1235271040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · MD048444L✔ Licensed in NJ · 25MA05551200✔ Licensed in VA · 0101054986

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4314 N. GEORGE ST EXT'D, Manchester, PA 17345

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Accepted Insurance

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

Dr. Shirlene Tolbert Moten 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 ID3072593318

PECOS Enrollment IDI20260526002922

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

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 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.

22 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17345 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

90.99/100

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

Scored as part of a group practice

Quality

92.95

Promoting Interoperability

100

Improvement Activities

Cost

77.03

Other Providers at the Same Location NPPES

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

HEATHER R MITCHELL

Nurse Practitioner (Family)

4314 N. GEORGE ST EXT'D
MANCHESTER, PA 17345

York County (717) 266-0252

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 Shirlene Moten's NPI number?

The NPI number for Shirlene Moten is 1235271040. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Shirlene Moten located?

Shirlene Moten practices at 4314 N. George St Ext'd, Manchester, PA 17345. The listed phone number is (717) 266-0252.

What is Shirlene Moten's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shirlene Moten enrolled in Medicare?

Yes. Shirlene Moten 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 Shirlene Moten accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Molina Healthcare list Shirlene Moten 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.

When was this NPI record last updated?

The NPPES record for Shirlene Moten was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.