Tommy Warren Shelton, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41582 Issued in KY

Practice address

350 Hospital Way
Suite 270
Somerset, KY 42503-2872

Phone

(606) 425-4298

Fax

(606) 425-4299

NPI assigned

Mar 14, 2007

Last updated

Jan 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

General Surgery

Education

University of Kentucky College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell County HospitalGroup PAC ID 6204887243, shared by 6 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDFGBD
• Direct secure messaging: tommy.shelton@crch.eclinicaldirectplus.com

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.

• Lake Cumberland Physician Practices, LLC

  dba Lake Cumberland Orthopedics

  • Orthopaedic Surgery Physician
  • Somerset, KY
  • NPI 1811356892
  Medicare reassignment NPD
• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437
  Medicare reassignment NPD
• Russell County Hospital

  • Certified Registered Nurse Anesthetist
  • Russell Springs, KY
  • NPI 1437245842
  Medicare reassignment NPD
• Lake Cumberland Surgical Consultants PSC

  • Surgery Physician
  • Somerset, KY
  • NPI 1801063698
  Authorized official Same address or phone
• Lake Cumberland Physician Practices LLC

  dba Gastroenterology of Lake Cumberland

  • Gastroenterology Physician
  • Somerset, KY
  • NPI 1174091383
  NPD
• Russell County Hospital

  dba Primary Care Associates of Russell County

  • Rural Health Clinic/Center
  • Russell Springs, KY
  • NPI 1295245025
  NPD
• Russell County Hospital

  • Nurse Practitioner
  • Russell Springs, KY
  • NPI 1538255948

  Surgery

  NPD

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

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437
  Care Compare affiliation

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1770617854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 270",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-425-4298",
            "fax_number": "606-425-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 270",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-425-4298",
            "fax_number": "606-425-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TOMMY",
        "middle_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "41582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00675001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Shea, DO
• Tonya E Shea, DO
• John Marshall Shelley IV, PT, DPT
• Melinda Shelton
• Rachel Shelton, M.D.
• Gregory J Sherry, M.D.
• Phillip Shibley, M.D.
• Beverly Sue Shook, MSN, APRN, FNP-C
• Kristie Lynn Short, APRN FNP-C
• Genie Sidwell, KPSS

• Surgery Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.

Verify at the official NPI Registry.