DR. ANDREW ALAN SHELTON M.D.
NPI 1710029681
Colon & Rectal Surgery in Stanford, CA

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
875 BLAKE WILBUR DRIVE CLINIC B, STANFORD, CA 94305(650) 723-3913 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew Alan Shelton M.d. NPPES

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

DR. ANDREW ALAN SHELTON M.D. (NPI 1710029681) is an individual colon & rectal surgery provider in Stanford, California, licensed in California (G76692) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1991).

NPPES Registry Identity

NPI1710029681
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. ANDREW ALAN SHELTONCredential: M.D.
Location Address875 BLAKE WILBUR DRIVE CLINIC BStanford, CA 94305-5820
Mailing Address300 Pasteur Dr # H3680Stanford, CA 94305-2200 · (650) 723-0173 · Fax (650) 725-0791
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1991
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710029681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in CA · G76692
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
875 BLAKE WILBUR DRIVE CLINIC B, Stanford, CA 94305

Other Identifiers 3

Medicare UPING50648CA
Medicaid00G76692CA
Medicare ID-Type Unspecified00G76692CA

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

Dr. Andrew Alan Shelton 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 ID3476441932
PECOS Enrollment IDI20110216000429
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 12

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 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.
62 services44 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
34 services21 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.
31 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Referred Medical Equipment & Supplies CMS DME claims 26

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers54 claims1,680 services$3.29 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
5 suppliers30 claims53 services$6.09 avg. paid by Medicare
Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369
DME-Orthotic Devices · category DF010N
6 suppliers62 claims206 services$1.93 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
6 suppliers31 claims50 services$3.13 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
8 suppliers141 claims5,020 services$4.78 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
4 suppliers29 claims595 services$9.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Andrew Shelton's NPI number?

The NPI number for Andrew Shelton is 1710029681. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Andrew Shelton located?

Andrew Shelton practices at 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305. The listed phone number is (650) 723-3913.

What is Andrew Shelton's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Andrew Shelton enrolled in Medicare?

Yes. Andrew 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 Andrew Shelton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.