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MR. THOMAS DAVID SHELBURNE III PA-C
NPI 1811764467
Physician Assistant in Columbia, SC

Active since December 05, 2023PECOS EnrolledAccepts Medicare Assignment
610 COLUMBIANA DR, COLUMBIA, SC 29212(803) 902-6568(803) 902-6570 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Dec 5, 2023 (2 updates tracked since 2023).

About Mr. Thomas David Shelburne Iii Pa-c NPPES

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

MR. THOMAS DAVID SHELBURNE III PA-C (NPI 1811764467) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (5178) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Columbia, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811764467
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS DAVID SHELBURNE IIICredential: PA-C
Location Address610 COLUMBIANA DRColumbia, SC 29212-0728
Mailing Address610 Columbiana DrColumbia, SC 29212-0728 · (803) 902-6568
Phone(803) 902-6568
Fax(803) 902-6570
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 5, 2023
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1811764467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 5178
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
610 COLUMBIANA DR, Columbia, SC 29212
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Secondary Practice Location 1

Location 13574 Sunset BlvdWest Columbia, SC 29169-3044 · Phone (803) 796-2500 · Fax (803) 796-4378

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Mr. Thomas David Shelburne Iii Pa-c 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 ID3173964392
PECOS Enrollment IDI20240517002848
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29212 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 3

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

CAPITAL DERMATOLOGY, LLC
Dermatology (MOHS-Micrographic Surgery)
610 COLUMBIANA DR
COLUMBIA, SC 29212
Lexington County (803) 603-5923
SLEEPMED THERAPIES, INC,
Durable Medical Equipment & Medical Supplies
610 COLUMBIANA DR, 200
COLUMBIA, SC 29212
Lexington County (803) 749-1336
BIOSERENITY USA INC.
Clinic/Center (Sleep Disorder Diagnostic)
610 COLUMBIANA DR, 100
COLUMBIA, SC 29212
Lexington County (803) 749-3599

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 Thomas Shelburne's NPI number?

The NPI number for Thomas Shelburne is 1811764467. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Thomas Shelburne located?

Thomas Shelburne practices at 610 Columbiana Dr, Columbia, SC 29212. The listed phone number is (803) 902-6568.

What is Thomas Shelburne's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Shelburne enrolled in Medicare?

Yes. Thomas Shelburne 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 Thomas Shelburne accept?

Health plans from UnitedHealthcare list Thomas Shelburne 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 Thomas Shelburne was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.