Active NPI
Charles H Shelton III, M.D.
- Radiation Oncology Physician
- Lewisburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 19802
- Practice address
- 187 Skylar Dr
Lewisburg, WV 24901-9359 - Phone
- (304) 425-1960
- Fax
- (304) 487-3514
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 19802 | WV | Primary |
Addresses
Primary practice location
187 Skylar Dr
Lewisburg, WV 24901-9359
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200011000 | Medicaid | WV | |
| 1437192630 | Medicaid | VA | |
| P00716522 | Other | WV | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2518 S Croatan Hwy
Unit B
Nags Head, NC 27959
Phone (252) 449-7373
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500
4810 S Croatan Hwy
Suite 200
Nags Head, NC 27959-8504
Phone (252) 449-9120
4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120
4917 S Croatan Hwy
Suite 1B
Nags Head, NC 27959
Phone (252) 255-0583
4927 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 261-0777
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19802 | WV | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outer Banks Professional Services, LLC | Current | Accepting new patients | |
| West Virginia Radiation Therapy Services Inc | Radiation Oncology | Current | Accepting new patients |
| Greenbrier Valley Radiation Oncology, PLLC | Radiation Oncology | Past | Accepting new patients |
Locations
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
4927 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 261-0777
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
200 Arh Ln
#103B
Covington, VA 24426
Phone (540) 862-6662
187 Skylar Dr
Lewisburg, WV 24901
Phone (304) 425-1960
Interoperability endpoints
- cshelton56824@direct.ecuhealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Outer Banks Hospital Urgent Care
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
-
- Radiation Oncology Physician
- Lewisburg, WV
- NPI 1164674156
-
- Radiation Oncology Physician
- Fairlea, WV
- NPI 1184667826
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1437192630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 SKYLAR DR",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249019359",
"telephone_number": "304-425-1960",
"fax_number": "304-487-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "CHARLES",
"middle_name": "H",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WV",
"license": "19802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200011000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437192630",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00716522",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.