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

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: October 18, 2026.

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

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, maintains 2 additional practice locations, and is a graduate of Rutgers New Jersey Medical School (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
Fax(717) 266-2199
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 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

Secondary Practice Locations 2

Location 124 South Adams StreetPetersburg, VA 23803-4525 · Phone (804) 733-3739 · Fax (804) 863-0667
Location 23806 Bayshore Rd Ste 101North Cape May, NJ 08204-3208 · Phone (609) 898-7447 · Fax (609) 898-1912

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. 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Shirlene Moten reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4314 N GEORGE ST EXT'D
Manchester, PA 17345
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
Internal Medicine
526 N SAINT CLOUD ST # 1601
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 152 clinicians in this Medicare group
Internal Medicine
6201 GERMANTOWN AVE
Philadelphia, PA 19144
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 26 clinicians in this Medicare group
Internal Medicine
11 VILLAGE DR
Cape May Court House, NJ 08210
  • Reassigned Medicare billing, New Jersey enrollment
  • 111 clinicians in this Medicare group
Internal Medicine
5795 STATE RD
Parma, OH 44134
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
Internal Medicine
3022 EASTWAY DR STE 1-3
Charlotte, NC 28205
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Archwell Health Professional Services Of North Carolina PC
  • 25 clinicians in this Medicare group
Internal Medicine
2730 N MARTIN LUTHER KING DR
Milwaukee, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 17 clinicians in this Medicare group
Internal Medicine
3501 S 84TH ST
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Archwell Health Professional Services PA
  • 24 clinicians in this Medicare group

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

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
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
4314 N. GEORGE ST EXT'D
MANCHESTER, PA 17345

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.

Which organizations bill Medicare for Shirlene Moten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirlene Moten reassigns Medicare benefits to 8 organizations: Pinnacle Health Regional Physicians (Manchester, PA), Curana Health Of Pennsylvania PC (Allentown, PA), Archwell Health Professional Services Of Pennsylvania, PC (Philadelphia, PA), Cape Physicians Associates PA (Cape May Court House, NJ), Archwell Health Professional Services Of Ohio, Inc. (Parma, OH) and 3 more organizations, listed in the Medicare section above. 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 Shirlene Moten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.