DR. WILLIAM JOHN SHELTON M.D.
NPI 1952349268
Family Medicine in Clarinda, IA

Q: What is William Shelton's NPI number?

The NPI number for William Shelton is 1952349268. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is William Shelton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for William Shelton was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment

220 ESSIE DAVISON DR, CLARINDA, IA 51632(712) 542-8330(712) 542-3373 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. William John Shelton M.d. NPPES

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

DR. WILLIAM JOHN SHELTON M.D. (NPI 1952349268) is an individual family medicine provider in Clarinda, Iowa, licensed in Iowa (22315) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Clarinda Regional Health Center, and is a graduate of University Of Nebraska College Of Medicine (1979).

NPPES Registry Identity

NPI1952349268

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WILLIAM JOHN SHELTONCredential: M.D.

Location Address220 ESSIE DAVISON DRClarinda, IA 51632-2915

Mailing AddressPo Box 217Clarinda, IA 51632-2625 · (712) 542-2176 · Fax (712) 542-8311

Phone(712) 542-8330

Fax(712) 542-3373

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1979

Enumeration DateJune 2, 2006

Last NPPES UpdateJanuary 26, 2012

✔ NPI 1952349268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · 22315

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

220 ESSIE DAVISON DR, Clarinda, IA 51632

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Other Identifiers 3

Medicare ID-Type UnspecifiedI15400IA

Medicaid3182697IA

Medicare UPINA14469IA

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

Dr. William John 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 ID4082650726

PECOS Enrollment IDI20050701000791

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

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

42 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161352

Location220 Essie Davison DriveClarinda, IA 51632 · Page County

Emergency services

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161366

Location300 Pershing AvenueShenandoah, IA 51601 · Page County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51632 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers100 claims154 services$5.96 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers30 claims35 services$1.07 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers11 claims11 services$44.71 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers15 claims30 services$2.03 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers21 claims21 services$119.68 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers19 claims45 services$44.69 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers14 claims75 services$17.46 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers27 claims27 services$73.40 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers30 claims30 services$24.20 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers36 claims36 services$21.92 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers43 claims247 services$3.09 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers21 claims21 services$14.23 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$11.62 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers20 claims20 services$20.28 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier17 claims17 services$861.53 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers64 claims64 services$49.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers92 claims92 services$116.24 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers57 claims57 services$37.05 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,440 services$0.18 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers40 claims2,400 services$4.69 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers74 claims4,440 services$6.45 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers35 claims3,000 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers89 claims5,340 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers62 claims325,500 services$0.15 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers17 claims18 services$190.89 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers141 claims141 services$24.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RENEE NAUMAN ARNP

Nurse Practitioner (Family)

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-2176

DR. ROBERT WILLARD CLEMONS JR. MD

Family Medicine

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-2176

JESSICA L DIVINE LMSW

Social Worker (Clinical)

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-2176

KATIE BURNS ARNP

Nurse Practitioner

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-8330

UROLOGY CENTER, PC

Urology

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-8216

MELISA S. BAIER RD, LD

Dietitian, Registered

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-2176

CHRISTINA MARIE SOLT DNP, FNP-C

Nurse Practitioner (Family)

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-2176

DR. GEORGE WILLIAM RICHARDSON M.D.

Family Medicine

220 ESSIE DAVISON DR
CLARINDA, IA 51632

Page County (712) 542-8330

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 William Shelton's NPI number?

The NPI number for William Shelton is 1952349268. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is William Shelton located?

William Shelton practices at 220 Essie Davison Dr, Clarinda, IA 51632. The listed phone number is (712) 542-8330.

What is William Shelton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Shelton enrolled in Medicare?

Yes. William 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.

What insurance does William Shelton accept?

Health plans from UnitedHealthcare list William 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.

Is William Shelton affiliated with any hospitals?

According to CMS data, William Shelton is affiliated with Clarinda Regional Health Center and Shenandoah Medical Center.

When was this NPI record last updated?

The NPPES record for William Shelton was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.