DR. TYLER RAY SHACKELFORD DO
NPI 1487996427
Internal Medicine - Critical Care Medicine in Albuquerque, NM
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Shackelford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NMPhysician 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.
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.
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.
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
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.
Which organization bills Medicare for Tyler Shackelford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Shackelford reassigns Medicare benefits to Southwest Medical Associates, LLC (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Tyler Ray Shackelford, DO · NPI 1487996427
Critical Care Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since March 16, 2013.
## Identity
- **NPI:** 1487996427 (Entity type: Individual)
- **Enumerated:** March 16, 2013
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** A-20176-16 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87102-3619
- **Phone:** (505) 727-8206
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1487996427) · Data from the CMS NPPES public registry.