SHELBY RAWLINS MONTES PA
NPI 1689206609
Hospitalist in Charlotte, NC

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2001 VAIL AVE, CHARLOTTE, NC 28207(704) 304-6070 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 14 more (17 updates tracked since 2020).

About Shelby Rawlins Montes Pa NPPES

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

SHELBY RAWLINS MONTES PA (NPI 1689206609) is an individual hospitalist provider in Charlotte, North Carolina, licensed in North Carolina (0010-10691) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689206609
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHELBY RAWLINS MONTESCredential: PA
Location Address2001 VAIL AVECharlotte, NC 28207-1248
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 7, 2020
Last NPPES UpdateJuly 15, 202417 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
NPI 1689206609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 0010-10691
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-10691 (NC)
2001 VAIL AVE, Charlotte, NC 28207

Accepted Insurance

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 Rawlins Montes Pa 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 ID840620548
PECOS Enrollment IDI20210422001518
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services96 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

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 Montes's NPI number?

The NPI number for Shelby Montes is 1689206609. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Shelby Montes located?

Shelby Montes practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 304-6070.

What is Shelby Montes's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shelby Montes enrolled in Medicare?

Yes. Shelby Montes 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.

What insurance does Shelby Montes accept?

Health plans from Blue Cross and Blue Shield of NC list Shelby Montes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Montes affiliated with any hospitals?

According to CMS data, Shelby Montes is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Shelby Montes was last updated on July 15, 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.