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BRIAN MAURICE SHEFULSKY DO
NPI 1992189997
General Practice in Stockton, MO

Active since July 20, 2015PECOS Enrolled
807 OWENS MILL RD, STOCKTON, MO 65785(417) 276-5500(417) 876-3812 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 12, 2026, Jul 10, 2024, May 5, 2023 and 3 more (6 updates tracked since 2016).

About Brian Maurice Shefulsky Do NPPES

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

BRIAN MAURICE SHEFULSKY DO (NPI 1992189997) is an individual general practice provider in Stockton, Missouri, licensed in Missouri (2019041268) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992189997
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRIAN MAURICE SHEFULSKYCredential: DO
Location Address807 OWENS MILL RDStockton, MO 65785-8359
Mailing Address1401 S Park StEl Dorado Springs, MO 64744-2037 · (417) 876-2511 · Fax (417) 876-3812
Phone(417) 276-5500
Fax(417) 876-3812
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1992189997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2019041268
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
807 OWENS MILL RD, Stockton, MO 65785
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11317 S State Highway 32El Dorado Springs, MO 64744-2302 · Phone (417) 876-3333 · Fax (417) 876-4509
Location 21401 S Park StEl Dorado Springs, MO 64744-2037 · Phone (417) 876-2511 · Fax (417) 876-3812

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Maurice Shefulsky Do 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brian Shefulsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherry Health Center, LLC
46 mi
Physical Therapist
607 W BATTLEFIELD ST
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1770628620 (417) 869-2000
Signify Health, LLC
372 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Dhhs Phs Ihs Phoenix Area
1,225 mi
Clinic/Center
401 PICACHO ROAD
Winterhaven, CA 92283
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1265719918 (760) 572-4100

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

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.

CEDAR COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
807 OWENS MILL RD
STOCKTON, MO 65785
Cedar County (417) 276-5500
CEDAR COUNTY MEMORIAL HOSPITAL
Clinic/Center
807 OWENS MILL RD
STOCKTON, MO 65785
Cedar County (417) 276-5500
JAMA R GILPIN MD
Emergency Medicine
807 OWENS MILL RD
STOCKTON, MO 65785
Cedar County (417) 276-5500

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 Brian Shefulsky's NPI number?

The NPI number for Brian Shefulsky is 1992189997. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Brian Shefulsky located?

Brian Shefulsky practices at 807 Owens Mill Rd, Stockton, MO 65785. The listed phone number is (417) 276-5500.

What is Brian Shefulsky's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brian Shefulsky enrolled in Medicare?

Yes. Brian Shefulsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Shefulsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Shefulsky reassigns Medicare benefits to 3 organizations: Cherry Health Center, LLC (Springfield, MO), Signify Health, LLC (Dallas, TX) and Dhhs Phs Ihs Phoenix Area (Winterhaven, CA). Each 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 Brian Shefulsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Shefulsky was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.