Individual provider Active NPI

Charles H Shelton III, M.D.

  • Radiation Oncology Physician
  • Lewisburg, WV
National Provider Identifier
1437192630
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
19802 Issued in WV
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

Updated by the provider on Apr 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7200011000MedicaidWV
1437192630MedicaidVA
P00716522OtherWVRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140127000302 NC Practitioner - Radiation Oncology 0042390627 Reassigns benefits to 1 organization

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 100Reported as apm
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

LicenseStateTypeSpecialty
19802WVMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Banks Professional Services, LLC CurrentSince Oct 4, 2015 Accepting new patients
West Virginia Radiation Therapy Services Inc Radiation Oncology CurrentSince Dec 21, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.