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SHELBY MCLAUGHLIN-PATEL M.D.
NPI 1629519970
Internal Medicine in Pottstown, PA

Active since March 19, 2017PECOS EnrolledAccepts Medicare Assignment
1600 E HIGH ST, POTTSTOWN, PA 19464(916) 734-2737 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2022, Aug 3, 2020, Mar 19, 2017 (3 updates tracked since 2017).

About Shelby Mclaughlin-patel M.d. NPPES

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

SHELBY MCLAUGHLIN-PATEL M.D. (NPI 1629519970) is an individual internal medicine provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD471621) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Drexel University College Of Medicine (2017).

NPPES Registry Identity

NPI1629519970
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHELBY MCLAUGHLIN-PATELCredential: M.D.
Location Address1600 E HIGH STPottstown, PA 19464-5008
Mailing Address1600 E High StPottstown, PA 19464-5008 · (916) 734-2737
Phone(916) 734-2737
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2017
Enumeration DateMarch 19, 2017
Last NPPES UpdateSeptember 16, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1629519970 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 PA · MD471621
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
1600 E HIGH ST, Pottstown, PA 19464
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Secondary Practice Location 1

Location 14150 V St, 1100Sacramento, CA 95817-1460 · Phone (916) 734-2737

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

Shelby Mclaughlin-patel M.d. 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 ID5799029245
PECOS Enrollment IDI20220902001637
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.

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.
76 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$19.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$90.12 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$15.78 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 20

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

POTTSTOWN CLINIC COMPANY LLC
Psychiatry & Neurology (Neurology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7500
ANIL KUMAR M.D.
Radiology (Diagnostic Radiology)
1600 E HIGH ST, RADIOLOGY DEPARTMENT
POTTSTOWN, PA 19464
Montgomery County (610) 327-7282
DR. CHARU THAKRAL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7111
MR. JEROME WEBER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
KANICA YASHI
Internal Medicine
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
ANDREW CHINOFSKY CRNP
Nurse Practitioner (Family)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
POTTSTOWN HOSPITAL, LLC
Clinic/Center (Ambulatory Surgical)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
LEE S ZELLEY M.D.
Obstetrics & Gynecology
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000

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 Shelby Mclaughlin-patel's NPI number?

The NPI number for Shelby Mclaughlin-patel is 1629519970. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is Shelby Mclaughlin-patel located?

Shelby Mclaughlin-patel practices at 1600 E High St, Pottstown, PA 19464. The listed phone number is (916) 734-2737.

What is Shelby Mclaughlin-patel's specialty?

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

Is Shelby Mclaughlin-patel enrolled in Medicare?

Yes. Shelby Mclaughlin-patel 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 Shelby Mclaughlin-patel was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.