RANDAL C. SHELTON DO
NPI 1629357892
Family Medicine in Montrose, CO

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
3330 S RIO GRANDE AVE STE 300, MONTROSE, CO 81401(970) 249-7751(970) 249-5029 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2017, Nov 8, 2016, Oct 10, 2016 and 1 more (4 updates tracked since 2015).

About Randal C. Shelton Do NPPES

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

RANDAL C. SHELTON DO (NPI 1629357892) is an individual family medicine provider in Montrose, Colorado, licensed in Colorado (DR.0053162) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montrose, and is a graduate of Lincoln Memorial University Medical Department (2011).

NPPES Registry Identity

NPI1629357892
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDAL C. SHELTONCredential: DO
Location Address3330 S RIO GRANDE AVE STE 300Montrose, CO 81401-4850
Mailing Address2303 S Townsend Ave Ste AMontrose, CO 81401-5452 · (970) 249-7751 · Fax (970) 249-5029
Fax(970) 249-5029
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2011
Enumeration DateAugust 5, 2011
Last NPPES UpdateNovember 25, 20244 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1629357892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · DR.0053162 Licensed in NC · 172631
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3330 S RIO GRANDE AVE STE 300, Montrose, CO 81401

Secondary Practice Location 1

Location 1836 S. Townsend Unit A, Mountain Peaks Family PracticeMontrose, CO 81401 · Phone (970) 615-9120 · Fax (970) 240-1139

Other Identifiers 5

OtherP01721833Railroad Workers Medicare For Mtn Peaks Family Practice
Other349127YTYKCO · Medicare Ptan San Juan Family Medicine
Medicaid91737818CO
Other349127ZV3YCO · Medicare B Ptan For Mtn Peaks Family Practice
Other349127YS6ECO · Medicare B Ptan For Lbn: Olathe Community Clinic

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

Randal C. Shelton 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 ID3971727769
PECOS Enrollment IDI20140618000629
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 13

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 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.
539 services281 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
325 services325 patients
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.
124 services97 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
77 services11 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
72 services26 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
64 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81401 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%176 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%174 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims50 services$4.97 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$42.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$102.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers22 claims65 services$41.58 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$61.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers22 claims22 services$21.00 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 13

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

Family Medicine
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Internal Medicine
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Nurse Practitioner (Family)
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Internal Medicine
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Physician Assistant
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Nurse Practitioner (Family)
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Nurse Practitioner (Family)
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401
Family Medicine
3330 S RIO GRANDE AVE STE 300
MONTROSE, CO 81401

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 Randal Shelton's NPI number?

The NPI number for Randal Shelton is 1629357892. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Randal Shelton located?

Randal Shelton practices at 3330 S Rio Grande Ave Ste 300, Montrose, CO 81401. The listed phone number is (970) 249-7751.

What is Randal Shelton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randal Shelton enrolled in Medicare?

Yes. Randal Shelton 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 Randal Shelton was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.