GREGORY C SHEDLOCK
NPI 1528644333
Internal Medicine in Bradenton, FL

Q: What is Gregory Shedlock's NPI number?

The NPI number for Gregory Shedlock is 1528644333. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Gregory Shedlock's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Shedlock was last updated on August 6, 2024. 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 March 22, 2021PECOS EnrolledAccepts Medicare Assignment

919 53RD AVE E, BRADENTON, FL 34203(941) 751-8100(941) 751-8127 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2024, Mar 22, 2021 (2 updates tracked since 2021).

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About Gregory C Shedlock NPPES

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

GREGORY C SHEDLOCK (NPI 1528644333) is an individual internal medicine provider in Bradenton, Florida, licensed in Florida (OS21040) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bradenton, and is a graduate of Lake Erie Col Of Osteopathic Medicine, Bradenton (2021).

NPPES Registry Identity

NPI1528644333

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGREGORY C SHEDLOCK

Location Address919 53RD AVE EBradenton, FL 34203-4801

Mailing Address101 Riverfront Blvd Ste 710Bradenton, FL 34205-8812 · (941) 776-4000

Phone(941) 751-8100

Fax(941) 751-8127

Sole ProprietorNo

Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1528644333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · OS21040

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

919 53RD AVE E, Bradenton, FL 34203

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Secondary Practice Location 1

Location 12020 59th St WBradenton, FL 34209-4604 · Phone (941) 798-6513

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

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

Gregory C Shedlock 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 ID2961802012

PECOS Enrollment IDI20240816001007

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.

Medicare Billing Reassignments

Medicare enrollment records show Gregory Shedlock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcr Health, Inc.

12 mi

Federally Qualified Health Center (FQHC)

12271 US HIGHWAY 301 N
Parrish, FL 34219

Reassigned Medicare billing, Florida enrollment
709 clinicians in this Medicare group

NPI 1255376000 (941) 776-4050

Hospital Medicine Services Of Fl, LLC

180 mi

Hospitalist

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
861 clinicians in this Medicare group

NPI 1710684857 (305) 682-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34203 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 19

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

DANA HAMTINI APRN

Nurse Practitioner (Family)