JEFFREY B SHACKELTON M.D.
NPI 1699902726
Dermatology in Reno, NV

Q: What is Jeffrey Shackelton's NPI number?

The NPI number for Jeffrey Shackelton is 1699902726. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Q: What is Jeffrey Shackelton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment

83.8/100

CMS Quality Rating

640 W. MOANA LANE, RENO, NV 89509(775) 324-0699(775) 323-6814 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jeffrey B Shackelton M.d. NPPES

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

JEFFREY B SHACKELTON M.D. (NPI 1699902726) is an individual dermatology provider in Reno, Nevada, licensed in Nevada (14618) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Harvard Medical School (2009).

NPPES Registry Identity

NPI1699902726

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameJEFFREY B SHACKELTONCredential: M.D.

Location Address640 W. MOANA LANEReno, NV 89509

Mailing Address3950 G S Richards BlvdCarson City, NV 89703 · (775) 882-8777 · Fax (775) 283-4081

Phone(775) 324-0699

Fax(775) 323-6814

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2009

Enumeration DateJune 16, 2009

Last NPPES UpdateNovember 9, 2021

NPPES CertifiedNovember 9, 2021

✔ NPI 1699902726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NV · 14618

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MD185082 (OR)

640 W. MOANA LANE, Reno, NV 89509

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Moda Health Plan, Inc., Oscar Insurance Company 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

Jeffrey B Shackelton 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 ID8325289622

PECOS Enrollment IDI20130730000162, I20200813002735, I20200817002210, I20200908002646, I20211130001192, I20220201001190

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 Reassignment

Medicare enrollment records show Jeffrey Shackelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain West Derm - Blackhart PLLC

Same address

MOHS-Micrographic Surgery

640 W MOANA LN
Reno, NV 89509

Reassigned Medicare billing, Nevada, Oregon, Idaho, Washington, Texas and Alaska enrollments
Also billed through NPI 1891467577 (Oregon), NPI 1548758501 (Idaho), NPI 1013557933 (Washington), NPI 1366018848 (Texas), NPI 1124670088 (Alaska)
31 clinicians in this Medicare group

NPI 1740633015 (775) 324-0699

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

Areas of Expertise CMS Part B claims 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

10,327 services5,921 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

1,016 services855 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

595 services439 patients

Application of ultraviolet light to skin 96900

Application of ultraviolet light to skin is a treatment process where a special type of light is directed onto the skin. It's often used to treat certain skin conditions, like psoriasis or vitiligo. It's a safe, controlled procedure performed by a healthcare professional.

279 services25 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

273 services181 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

250 services219 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

235 services45 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.

117 services95 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

77 services57 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

56 services45 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

56 services44 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.

41 services30 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

37 services27 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

37 services31 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

23 services22 patients

Hospital Affiliations CMS Care Compare

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89509 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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.

83.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.58

Promoting Interoperability

Improvement Activities

Cost

71.77

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 Jeffrey Shackelton's NPI number?

The NPI number for Jeffrey Shackelton is 1699902726. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Jeffrey Shackelton located?

Jeffrey Shackelton practices at 640 W. Moana Lane, Reno, NV 89509. The listed phone number is (775) 324-0699.

What is Jeffrey Shackelton's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeffrey Shackelton enrolled in Medicare?

Yes. Jeffrey Shackelton 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.

Which organization bills Medicare for Jeffrey Shackelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Shackelton reassigns Medicare benefits to Mountain West Derm - Blackhart PLLC (Reno, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Shackelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Shackelton accept?

Health plans from Ambetter from Arizona Complete Health, Moda Health Plan, Inc., Oscar Insurance Company, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Jeffrey Shackelton 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 Jeffrey Shackelton affiliated with any hospitals?

According to CMS data, Jeffrey Shackelton is affiliated with Renown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Shackelton was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.