MARLON D SHELBY PA
NPI 1447313630
Physician Assistant in Chester, SC

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
517 DOCTORS CT, CHESTER, SC 29706(803) 581-2800(803) 581-4396 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marlon D Shelby Pa NPPES

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

MARLON D SHELBY PA (NPI 1447313630) is an individual physician assistant in Chester, South Carolina, licensed in South Carolina (608) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Health Chester Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1999).

NPPES Registry Identity

NPI1447313630
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARLON D SHELBYCredential: PA
Location Address517 DOCTORS CTChester, SC 29706-8644
Mailing AddressPo Box 603898Charlotte, NC 28260-3898 · (803) 581-2800 · Fax (803) 581-4396
Fax(803) 581-4396
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1999
Enumeration DateDecember 18, 2006
Last NPPES UpdateMay 13, 2019
NPI 1447313630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 608
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
517 DOCTORS CT, Chester, SC 29706

Other Identifiers 1

Medicaid104247SC

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

Marlon D Shelby Pa 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 ID3375431422
PECOS Enrollment IDI20040309001107
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.

Hospital Affiliations CMS Care Compare 2

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

Musc Health Chester Medical Center

Acute Care Hospitals · Chester, SC
OwnershipProprietary
CMS Certification Number420019
Location1 Medical Park DriveChester, SC 29706 · Chester County
Emergency services

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29706 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
69%254 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%631 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
32%210 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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 suppliers17 claims32 services$5.91 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
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.32 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$26.12 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 8

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

Family Medicine
517 DOCTORS CT
CHESTER, SC 29706
Nurse Practitioner (Family)
517 DOCTORS CT
CHESTER, SC 29706
Family Medicine
517 DOCTORS CT
CHESTER, SC 29706
Physician Assistant
517 DOCTORS CT
CHESTER, SC 29706
Family Medicine
517 DOCTORS CT
CHESTER, SC 29706
Internal Medicine
517 DOCTORS CT
CHESTER, SC 29706
Family Medicine
517 DOCTORS CT
CHESTER, SC 29706
Clinic/Center (Rural Health)
517 DOCTORS CT
CHESTER, SC 29706

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 Marlon Shelby's NPI number?

The NPI number for Marlon Shelby is 1447313630. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Marlon Shelby located?

Marlon Shelby practices at 517 Doctors Ct, Chester, SC 29706. The listed phone number is (803) 581-2800.

What is Marlon Shelby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marlon Shelby enrolled in Medicare?

Yes. Marlon Shelby 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 Marlon Shelby accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Marlon Shelby 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 Marlon Shelby affiliated with any hospitals?

According to CMS data, Marlon Shelby is affiliated with Musc Health Chester Medical Center and Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Marlon Shelby was last updated on May 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.