Individual provider Active NPI

Scott Steven Shelton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Highland, UT
National Provider Identifier
1710114962
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
03 Issued in UT
Practice address
5455 W 11000 N Ste 203
Highland, UT 84003-8802
Phone
(801) 756-1800
Fax
(801) 571-7912
NPI assigned
Jun 15, 2009
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 03 UT Primary

Addresses

Primary practice location

5455 W 11000 N Ste 203
Highland, UT 84003-8802

Mailing address

PO Box 540610
N Salt Lake, UT 84054-0610
Phone (801) 451-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000533 UT Practitioner - Podiatry 9830353036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Podiatry Group LLCGroup PAC ID 2163592379, 14 clinicians

Practice addresses (Care Compare)

1025 E 11400
Suite 104
Sandy, UT 84094-6947
Phone (801) 571-7911

1561 W 7000
Suite 201
West Jordan, UT 84084-3556
Phone (801) 569-2696

24 S 1100
Suite 210
Salt Lake City, UT 84102-1580
Phone (801) 505-5277

Merit-based Incentive Payment System (MIPS)

Final score
71.11 of 100Reported as individual
Quality
42.67
Promoting interoperability
84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue827
Removal or shaving of skin growth577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Podiatric Physicians and Surgeons Group LLC Podiatrist CurrentSince Nov 23, 2014 Accepting new patients
Utah Podiatry Group LLC Podiatrist CurrentSince Apr 1, 2026 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Podiatrist CurrentSince Nov 23, 2014 Accepting new patients
Utah Podiatry Group LLC Podiatrist CurrentSince Apr 1, 2026 Accepting new patients

Locations

3435 E Pony Express Pkwy
Ste 140
Eagle Mtn, UT 84005
Phone (801) 789-2444

10290 N North County Blvd
Ste 103
Highland, UT 84003
Phone (801) 532-1822

5455 W 11000 N
Ste 203
Highland, UT 84003
Phone (801) 699-0530

144 S 7th E
Salt Lake Cty, UT 84102
Phone (801) 532-1822

24 S 1100 E
Ste 210
Salt Lake Cty, UT 84102
Phone (385) 286-4747

1025 E 11400 S
Ste 104
Sandy, UT 84094
Phone (385) 202-3937

1561 W 7000 S
Ste 201
West Jordan, UT 84084
Phone (435) 671-4726

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1710114962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540610",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "840540610",
            "telephone_number": "801-451-6060",
            "fax_number": "801-296-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N STE 203",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038802",
            "telephone_number": "801-756-1800",
            "fax_number": "801-571-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SCOTT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, UT

Sources for this page

Verify at the official NPI Registry.