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BENJAMIN T SHELTON MD
NPI 1720196439
Emergency Medicine in Boston, MA

Active since August 25, 2006PECOS Enrolled
82.26/100
CMS Quality Rating
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118(617) 414-5481(617) 414-7759 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin T Shelton Md NPPES

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

BENJAMIN T SHELTON MD (NPI 1720196439) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (228233) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720196439
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBENJAMIN T SHELTONCredential: MD
Location Address1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTHBoston, MA 02118-2908
Mailing AddressPo Box 414402Boston, MA 02241-0001 · (866) 898-7138 · Fax (616) 975-9824
Phone(617) 414-5481
Fax(617) 414-7759
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 5, 2008
✔ NPI 1720196439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 228233
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118
Open in Google Maps ↗

Other Identifiers 5

OtherJ42015MA · Bcbs
Medicare PIN000109701MA
Medicaid2137241MA
Other496292MA · Tufts
Medicare PINP00428409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin T Shelton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
395 services379 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
123 services114 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

82.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.87
Improvement Activities0
Cost74.28

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.

SOPHIA N. TOWNSEND CRNA
Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-6950
MADELYN ROSE CHAMIS
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. NICKKI P DAWES
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
COMFORT ATWEREBOANAH
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
SOFIA PHAM
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
ANEESH T NARANG MD
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481
TEMITAYO OKUBANJO PHARM.D, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DEBORAH A DAVOLIO NP
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481

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 Benjamin Shelton's NPI number?

The NPI number for Benjamin Shelton is 1720196439. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Benjamin Shelton located?

Benjamin Shelton practices at 1 Boston Medical Ctr Pl Dowling 1 South, Boston, MA 02118. The listed phone number is (617) 414-5481.

What is Benjamin Shelton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Shelton enrolled in Medicare?

Yes. Benjamin Shelton is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Shelton accept?

Health plans from Moda Health Plan, Inc. list Benjamin Shelton 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.

When was this NPI record last updated?

The NPPES record for Benjamin Shelton was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.