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SHELLEY BURCHSTED MD
NPI 1235579251
Family Medicine in Middletown, CT

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
90 S MAIN ST, FAMILY RESIDENCY PROGRAM, MIDDLETOWN, CT 06457(860) 358-6300(860) 358-9249 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2017, Apr 14, 2017 (2 updates tracked since 2017).

About Shelley Burchsted Md NPPES

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

SHELLEY BURCHSTED MD (NPI 1235579251) is an individual family medicine provider in Middletown, Connecticut, licensed in Connecticut (56065) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2013).

NPPES Registry Identity

NPI1235579251
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELLEY BURCHSTEDCredential: MD
Location Address90 S MAIN ST, FAMILY RESIDENCY PROGRAMMiddletown, CT 06457-3649
Mailing Address90 S Main St, Family Residency ProgramMiddletown, CT 06457-3649 · (860) 358-6300 · Fax (860) 358-9249
Phone(860) 358-6300
Fax(860) 358-9249
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2013
Enumeration DateJuly 5, 2013
Last NPPES UpdateAugust 11, 20172 updates tracked since enumeration
✔ NPI 1235579251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 56065
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.

Also ListedHospitalistTaxonomy 208M00000X · License 56065 (CT)
90 S MAIN ST, Middletown, CT 06457
Open in Google Maps ↗

Other Identifiers 1

Other56065CT · St Lic

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

Shelley Burchsted 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 ID8628211224
PECOS Enrollment IDI20170825002352
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.

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.
139 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
97 services58 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.
76 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
55 services41 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$13.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$60.65 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims1,830 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$23.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

OPHELIA OKOH DO
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
KIMBERLY LEGERE-SHARPLES MD
Family Medicine
90 S MAIN ST, FAMILY PRACTICE GROUP
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
JESSICA PAULUCCI CERDENA M.D.
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
TIMOTHY JANE HUANG
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300
KEITH SINUSAS M.D.
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6300
STACEY DURR APRN
Nurse Practitioner (Family)
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6486
AYSEGUL OZBEK M.D.
Obstetrics & Gynecology
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6300
JERILYN SUE WILLIAMS MD
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6300

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 Shelley Burchsted's NPI number?

The NPI number for Shelley Burchsted is 1235579251. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Shelley Burchsted located?

Shelley Burchsted practices at 90 S Main St Family Residency Program, Middletown, CT 06457. The listed phone number is (860) 358-6300.

What is Shelley Burchsted's specialty?

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

Is Shelley Burchsted enrolled in Medicare?

Yes. Shelley Burchsted 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.

When was this NPI record last updated?

The NPPES record for Shelley Burchsted was last updated on August 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.