NIKHIL SHELKE M.D.
NPI 1396131405
Orthopaedic Surgery in Eau Claire, WI

Q: What is Nikhil Shelke's NPI number?

The NPI number for Nikhil Shelke is 1396131405. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Q: What is Nikhil Shelke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikhil Shelke was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 15, 2015PECOS EnrolledAccepts Medicare Assignment

82.36/100

CMS Quality Rating

2116 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-4650 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Jun 28, 2016 (2 updates tracked since 2016).

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About Nikhil Shelke M.d. NPPES

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

NIKHIL SHELKE M.D. (NPI 1396131405) is an individual orthopaedic surgery provider in Eau Claire, Wisconsin, licensed in Wisconsin (75536) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2015).

NPPES Registry Identity

NPI1396131405

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameNIKHIL SHELKECredential: M.D.

Location Address2116 CRAIG RDEau Claire, WI 54701-6149

Mailing Address2116 Craig RdEau Claire, WI 54701-6149 · (715) 858-4650

Phone(715) 858-4650

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2015

Enumeration DateApril 15, 2015

Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration

NPPES CertifiedAugust 26, 2021

✔ NPI 1396131405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WI · 75536

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2116 CRAIG RD, Eau Claire, WI 54701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Nikhil Shelke 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 ID6709178734

PECOS Enrollment IDI20210920000788

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.

93 services64 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.

51 services42 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.

42 services42 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.

21 services18 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

15 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520011

Location1700 West Stout StreetRice Lake, WI 54868 · Barron County

Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520210

Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County

Emergency services Birthing friendly

Marshfield Medical Center - Neillsville

Critical Access Hospitals · Neillsville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521323

LocationN3708 River AveNeillsville, WI 54456 · Clark County

Emergency services

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number521328

Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County

Emergency services

Spooner Health System

Critical Access Hospitals · Spooner, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521332

Location1280 Chandler DrSpooner, WI 54801 · Washburn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

82.36/100

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

Scored as part of a group practice

Quality

76.38

Promoting Interoperability

100

Improvement Activities

Cost

50.29

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.

ANNA MARIE BYRNE DPT

Physical Therapist