DR. TYLER RAY SHACKELFORD DO
NPI 1487996427
Internal Medicine - Critical Care Medicine in Albuquerque, NM

Active since March 16, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102(505) 727-8206 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tyler Ray Shackelford Do NPPES

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

DR. TYLER RAY SHACKELFORD DO (NPI 1487996427) is an individual critical care medicine provider in Albuquerque, New Mexico, licensed in New Mexico (A-20176-16) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1487996427
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. TYLER RAY SHACKELFORDCredential: DO
Location Address601 DR MARTIN LUTHER KING JR AVE NEAlbuquerque, NM 87102-3619
Mailing Address4101 Indian School Rd Ne Ste 110Albuquerque, NM 87110-3991
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 16, 2013
Last NPPES UpdateMarch 17, 2018
NPI 1487996427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NM · A-20176-16
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R06-2013 (NM)
601 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87102

Secondary Practice Location 1

Location 1I University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-6331 · Fax (505) 272-4628

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

Dr. Tyler Ray Shackelford Do 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 ID4789819566
PECOS Enrollment IDI20180607002423
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
178 services74 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.
70 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services24 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

Internal Medicine
601 DR MARTIN LUTHER KING JR AVE NE, HOSPITALIST DEPARTMENT
ALBUQUERQUE, NM 87102
Nurse Practitioner (Acute Care)
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Pharmacist
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Physical Therapist
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Internal Medicine
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
General Acute Care Hospital
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Occupational Therapist
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Emergency Medicine
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102

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 Tyler Shackelford's NPI number?

The NPI number for Tyler Shackelford is 1487996427. It was assigned to this individual provider in the NPPES registry on March 16, 2013.

Where is Tyler Shackelford located?

Tyler Shackelford practices at 601 Dr Martin Luther King Jr Ave NE, Albuquerque, NM 87102. The listed phone number is (505) 727-8206.

What is Tyler Shackelford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Tyler Shackelford enrolled in Medicare?

Yes. Tyler Shackelford 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.

Is Tyler Shackelford affiliated with any hospitals?

According to CMS data, Tyler Shackelford is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Shackelford was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.