MS. SHARON M COLTON MD
NPI 1245264852
Family Medicine in Evarts, KY

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
101 CHAD ST, CLOVERFORK CLINIC, EVARTS, KY 40828(606) 837-2108(606) 837-9389 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sharon M Colton Md NPPES

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

MS. SHARON M COLTON MD (NPI 1245264852) is an individual family medicine provider in Evarts, Kentucky, licensed in Kentucky (30585) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Harlan Arh Hospital, and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1245264852
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. SHARON M COLTONCredential: MD
Location Address101 CHAD ST, CLOVERFORK CLINICEvarts, KY 40828-0039
Mailing AddressPo Box 39, 101 Chad StEvarts, KY 40828-0039 · (606) 837-2108 · Fax (606) 837-9389
Fax(606) 837-9389
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 21, 2015
NPI 1245264852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 30585
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.

101 CHAD ST, Evarts, KY 40828

Other Identifiers 5

Medicaid64061708KY
Medicare UPINF89730
Other000000044850KY · Anthem
Other0918801KY · Medicare B
Medicare ID-Type Unspecified183823010030203KY

Accepted 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

Ms. Sharon M Colton 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 ID6204739121
PECOS Enrollment IDI20040129000031
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 2

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
29 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40828 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims61 services$5.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers25 claims32 services$0.86 avg. paid by Medicare
Irrigation syringe, bulb or piston, each A4322
DME-Medical/Surgical Supplies · category DA000N
1 supplier45 claims315 services$2.79 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers61 claims623 services$7.45 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers61 claims11,028 services$0.78 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier44 claims44 services$65.43 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 7

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

Physician Assistant
101 CHAD ST, CLOVERFORK CLINIC
EVARTS, KY 40828
Physician Assistant
101 CHAD ST, CLOVER FORK CLINIC
EVARTS, KY 40828
Pharmacy
101 CHAD ST
EVARTS, KY 40828
Nurse Practitioner (Family)
101 CHAD ST
EVARTS, KY 40828
Family Medicine
101 CHAD ST, CLOVERFORK CLINIC
EVARTS, KY 40828
Physician Assistant (Medical)
101 CHAD ST
EVARTS, KY 40828
Clinic/Center (Federally Qualified Health Center (FQHC))
101 CHAD ST, CLOVER FORK CLINIC
EVARTS, KY 40828

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 Sharon Colton's NPI number?

The NPI number for Sharon Colton is 1245264852. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Sharon Colton located?

Sharon Colton practices at 101 Chad St Cloverfork Clinic, Evarts, KY 40828. The listed phone number is (606) 837-2108.

What is Sharon Colton's specialty?

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

Is Sharon Colton enrolled in Medicare?

Yes. Sharon Colton 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 Sharon Colton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sharon Colton 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.

Is Sharon Colton affiliated with any hospitals?

According to CMS data, Sharon Colton is affiliated with Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Colton was last updated on October 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.