MS. SHELBY MARTIN PA
NPI 1467183772
Physician Assistant in Saint Louis, MO

Active since June 19, 2022PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 8TH FL, SAINT LOUIS, MO 63108(314) 362-2280(888) 352-8360 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 6, 2025, May 22, 2025, Jul 27, 2023 (3 updates tracked since 2023).

About Ms. Shelby Martin Pa NPPES

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

MS. SHELBY MARTIN PA (NPI 1467183772) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2025010660) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467183772
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SHELBY MARTINCredential: PA
Location Address4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 8TH FLSaint Louis, MO 63108-2114
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-2280 · Fax (888) 352-8360
Fax(888) 352-8360
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 19, 2022
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1467183772 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 MO · 2025010660
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.
4500 FOREST PARK AVE, Saint Louis, MO 63108

Other Identifiers 1

Medicaid220156750MO

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. Shelby Martin 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 ID9436533387
PECOS Enrollment IDI20250531000135
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 5

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 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.
100 services88 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.
46 services46 patients
Simple complete removal of breast 19303
This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.
17 services17 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
14 services14 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Pharmacist
4500 FOREST PARK AVE
SAINT LOUIS, MO 63108
Nurse Practitioner (Family)
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 5TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Urology
4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Physician Assistant
4500 FOREST PARK AVE, DEPT NEUROLOGICAL SURGERY, STE 1B
SAINT LOUIS, MO 63108

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 Shelby Martin's NPI number?

The NPI number for Shelby Martin is 1467183772. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Where is Shelby Martin located?

Shelby Martin practices at 4500 Forest Park Ave Div Surg Oncology, 8th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-2280.

What is Shelby Martin's specialty?

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

Is Shelby Martin enrolled in Medicare?

Yes. Shelby Martin 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 Shelby Martin accept?

Health plans from Cox HealthPlans list Shelby Martin 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 Shelby Martin affiliated with any hospitals?

According to CMS data, Shelby Martin is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Martin was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.