Tommy Shelton, M.D.
NPI 1770617854 · Surgery Physician · Somerset, KY
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tommy Shelton, M.D. is a Surgery Physician provider in Somerset, KY (NPI 1770617854).
Provider details
- NPI number
- 1770617854
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 41582 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
359 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 138 | $84 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 88 | $52 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 62 | $103 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 33 | $119 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $122 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sucralfate | 137 | 68 |
| Omeprazole | 131 | 30 |
| Pantoprazole Sodium | 124 | 37 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 80 | 75 |
| Famotidine | 16 | — |
| Levofloxacin | 15 | 13 |
| Metronidazole | 13 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2012-01-09
Frequently asked questions
- What is Tommy Shelton's NPI number?
- Tommy Shelton's National Provider Identifier (NPI) is 1770617854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tommy Shelton's specialty?
- Tommy Shelton is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tommy Shelton located?
- Tommy Shelton's practice location on file with NPPES is 350 Hospital Way, Somerset, KY 42503-2872.
- What is Tommy Shelton's phone number?
- The practice phone number listed in the NPPES registry for Tommy Shelton is (606) 425-4298.
- Does Tommy Shelton accept Medicare?
- Tommy Shelton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tommy Shelton's NPI active?
- Yes — Tommy Shelton's NPI (1770617854) is active in the NPPES registry as of the last update on 2012-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.