YARDLY PIERRE-JEROME SHOULTON MD
NPI 1629023023
Internal Medicine in Jamaica, NY

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
13742 GUY R BREWER BLVD, JAMAICA, NY 11434(718) 977-1207(718) 977-1256 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yardly Pierre-jerome Shoulton Md NPPES

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

YARDLY PIERRE-JEROME SHOULTON MD (NPI 1629023023) is an individual internal medicine provider in Jamaica, New York, licensed in New York (166834) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1629023023
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYARDLY PIERRE-JEROME SHOULTONCredential: MD
Location Address13742 GUY R BREWER BLVDJamaica, NY 11434-3732
Mailing Address2001 Marcus Ave Ste E249New Hyde Park, NY 11042-1000 · (516) 437-5600 · Fax (516) 437-7428
Fax(718) 977-1256
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 28, 2012
NPI 1629023023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 166834
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.
13742 GUY R BREWER BLVD, Jamaica, NY 11434

Other Identifiers 2

Medicaid01839418NY
Medicare ID-Type Unspecified9255ILNY

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

Yardly Pierre-jerome Shoulton Md 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 ID4284822305
PECOS Enrollment IDI20101216000019
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 7

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.
164 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services81 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.
98 services53 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
83 services11 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
75 services12 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
56 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims68 services$1.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims21 services$211.19 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 3

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

Pharmacy
13742 GUY R BREWER BLVD, STORE #6
JAMAICA, NY 11434
Chiropractor
13742 GUY R BREWER BLVD
JAMAICA, NY 11434
Pharmacist
13742 GUY R BREWER BLVD
JAMAICA, NY 11434

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 Yardly Pierre-jerome Shoulton's NPI number?

The NPI number for Yardly Pierre-jerome Shoulton is 1629023023. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Yardly Pierre-jerome Shoulton located?

Yardly Pierre-jerome Shoulton practices at 13742 Guy R Brewer Blvd, Jamaica, NY 11434. The listed phone number is (718) 977-1207.

What is Yardly Pierre-jerome Shoulton's specialty?

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

Is Yardly Pierre-jerome Shoulton enrolled in Medicare?

Yes. Yardly Pierre-jerome Shoulton 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.

When was this NPI record last updated?

The NPPES record for Yardly Pierre-jerome Shoulton was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.