MARK M SHELTON MD
NPI 1922192780
Pediatrics - Pediatric Infectious Diseases in Fort Worth, TX
NPI Status: Active since October 03, 2006
Contact Information
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-1485
Fax: (817) 338-1841
- Individual
- Male
- Pediatrics
- Pediatric Infectious Diseases
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About MARK SHELTON
This page provides the complete NPI Profile along with additional information for Mark Shelton, a pediatrician established in Fort Worth, Texas with a medical specialization in Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1922192780 assigned on October 2006. The practitioner's primary taxonomy code is 2080P0208X with license number G5607 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1922192780
- Provider Name
- MARK M SHELTON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 COOPER ST FORT WORTH, TX 76104
- Location Phone
- (682) 885-1485
- Location Fax
- (817) 338-1841
- Mailing Address
- PO BOX 733784 DALLAS, TX 75373
- Mailing Phone
- (682) 885-1855
- Mailing Fax
- (817) 338-1841
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2006
- Last Update Date
- 01-04-2022
- Code Navigator
A pediatrician like Mark Shelton is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Infectious Diseases
- Taxonomy Code
- 2080P0208X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G5607
- License State
- TX
- Taxonomy Description
- A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mark Shelton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 1 | 9 | 2 | 7 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 2 | 9 | 4 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 2 + 9 + 4 + 7 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1922192780 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063493831 | JAMES P MILLER MD Individual | Surgery (Pediatric Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-7080 |
| 1023096963 | JANICE L RANDEL CPNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2140 |
| 1619988763 | MAYNARD C DYSON MD Individual | Pediatrics (Pediatric Pulmonology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-6299 |
| 1184636078 | WILLIAM P BOWMAN MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4007 |
| 1306858295 | RONALD G BURKE MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1184739534 | NANCY N DAMBRO MD Individual | Pediatrics (Pediatric Pulmonology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-6299 |
| 1538264239 | LARRY D MESSER MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1205931938 | DONALD K MURPHEY MD Individual | Pediatrics (Pediatric Infectious Diseases) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1485 |
| 1104921873 | JEFFERY C MCGLOTHLIN MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2500 |
| 1164515243 | HINTON H HAMILTON III MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1578656658 | LYN I HUNT MD Individual | Pediatrics (Pediatric Gastroenterology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1990 |
| 1184717803 | JOANN M SANDERS MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4007 |
| 1407063324 | TODD D PEARSON MD Individual | Pediatrics (Hospice and Palliative Medicine) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1475 |
| 1689879645 | JOY L ZAJAC PNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2500 |
| 1447455118 | MELISSA A LEMOINE PNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4260 |
| 1386893907 | REBECCA A SMITH CPNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4007 |
| 1003057662 | SCHARLYN R HENDERSON LCSW Individual | Social Worker (Clinical) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1475 |
| 1023338357 | KIRSTIN WEBSTER FNP Individual | Nurse Practitioner (Family) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1992080030 | JOANNA KATHERINE BROWNLEE CPNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2500 |
| 1669453940 | TIMOTHY L BLACK MD Individual | Surgery (Pediatric Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-7080 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922192780, enumerated in the NPI registry as an "individual" on October 03, 2006
The provider is located at 1500 Cooper St Fort Worth, Tx 76104 and the phone number is (682) 885-1485
The provider's speciality is Pediatrics with taxonomy code 2080P0208X with a focus in Pediatric Infectious Diseases
The provider might be accepting Accepts: Baylor Scott and White Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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