MARC EDWARD SHELTON M.D.
NPI 1245313840
Internal Medicine - Cardiovascular Disease in Columbia, MO

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
500 N KEENE ST STE 406, COLUMBIA, MO 65201(573) 884-3278(573) 884-1351 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Oct 26, 2023, Dec 22, 2021 and 1 more (4 updates tracked since 2017).

About Marc Edward Shelton M.d. NPPES

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

MARC EDWARD SHELTON M.D. (NPI 1245313840) is an individual cardiovascular disease provider in Columbia, Missouri, licensed in Missouri (2023043641) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1984).

NPPES Registry Identity

NPI1245313840
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARC EDWARD SHELTONCredential: M.D.
Location Address500 N KEENE ST STE 406Columbia, MO 65201-8104
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 884-1351
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1984
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1245313840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MO · 2023043641
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
500 N KEENE ST STE 406, Columbia, MO 65201

Other Identifiers 1

Other060024535IL · Railroad

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

Marc Edward 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 ID2860385291
PECOS Enrollment IDI20231107003261
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.
98 services76 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 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.
29 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services11 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.
12 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260074
Location1515 Union AveMoberly, MO 65270 · Randolph County
Emergency services

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Cardiovascular Disease)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Nurse Practitioner (Family)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Internal Medicine (Cardiovascular Disease)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Obstetrics & Gynecology (Maternal & Fetal Medicine)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Internal Medicine (Cardiovascular Disease)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Internal Medicine (Interventional Cardiology)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Nurse Practitioner (Family)
500 N KEENE ST STE 406
COLUMBIA, MO 65201
Physician Assistant
500 N KEENE ST STE 406
COLUMBIA, MO 65201

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 Marc Shelton's NPI number?

The NPI number for Marc Shelton is 1245313840. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Marc Shelton located?

Marc Shelton practices at 500 N Keene St Ste 406, Columbia, MO 65201. The listed phone number is (573) 884-3278.

What is Marc Shelton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Marc Shelton enrolled in Medicare?

Yes. Marc Shelton 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 Marc Shelton accept?

Health plans from Medica list Marc Shelton 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 Marc Shelton affiliated with any hospitals?

According to CMS data, Marc Shelton is affiliated with Phelps County Regional Medical Center, Moberly Regional Medical Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Marc Shelton was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.