Active NPI 1053577189 Individual Practitioner Female Practitioner

Shelby Jean Thornton , APRN

Nurse Practitioner • Fort Mitchell, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelby Thornton, APRN is a certified Nurse Practitioner practicing in Fort Mitchell, KY. With approximately 20 years of clinical experience since completing medical education in 2006, Shelby Thornton delivers high-quality medical care to the local community at 2300 CHAMBER CENTER DRIVE.

Shelby Thornton is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2300 Chamber Center Drive
Suite 100

Fort Mitchell, KY 410171673

Telephone 8593413114

Fax 8595782156

Associated Practice Facility / Clinic

🏢 Summit Medical Group, Inc Facility NPI 1548677636

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Mitchell, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Fort Mitchell, KY (1865 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thornton (20 Years) 20 Yrs

Fort Mitchell Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	3,480	29	$0.56	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	157	$301.00	$81.97
99213 Established patient office or other outpatient visit, typically 15 minutes	132	113	$213.00	$62.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$305.00	$13.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	40	$33.00	$11.34
G0008 Administration of influenza virus vaccine	33	31	$99.36	$28.64
90662 Influenza vaccine split virus, preservative free	25	25	$141.00	$78.55
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	24	24	$159.00	$66.38
91320 Sarscv2 vac 30mcg trs-suc im	18	17	$289.00	$143.33
90480 Admn sarscov2 vacc 1 dose	18	17	$90.00	$39.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$392.00	$98.67
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$64.00	$9.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	126	$180.00	$77.82
99213 Established patient office or other outpatient visit, typically 15 minutes	114	101	$135.00	$58.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$275.00	$11.53
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	15	$13.00	$6.65
G0008 Administration of influenza virus vaccine	26	25	$38.00	$28.60
90662 Influenza vaccine split virus, preservative free	24	23	$110.00	$71.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	24	$50.00	$11.21
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	16	16	$100.00	$32.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	134	$177.36	$86.96
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	116	28	$13.00	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	105	94	$130.58	$64.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$268.41	$21.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	36	$50.00	$11.40
G0008 Administration of influenza virus vaccine	27	27	$38.00	$26.98
90662 Influenza vaccine split virus, preservative free	24	24	$110.00	$68.40
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	16	16	$90.00	$33.55
0124A Fee covid-19 vac 13 res	12	12	$90.00	$35.64
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	11	11	$100.00	$30.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	139	$173.66	$85.05
99213 Established patient office or other outpatient visit, typically 15 minutes	141	116	$119.00	$54.73
J1040 Injection, methylprednisolone acetate, 80 mg	66	30	$18.00	$10.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$188.00	$107.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	34	$50.00	$11.33
G0008 Administration of influenza virus vaccine	35	35	$38.00	$15.62
90662 Influenza vaccine split virus, preservative free	29	29	$107.24	$64.67
81003 Automated urinalysis test	23	22	$6.00	$2.25
0004A Fee covid-19 vac 1 res	15	15	$90.00	$36.67
G0009 Administration of pneumococcal vaccine	14	14	$38.00	$15.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$207.29	$123.35
0064A Adm sarscov2 50mcg/0.25mlbst	13	13	$90.00	$36.67
99495 Transitional care management services for problem of at least moderate complexity	12	11	$285.83	$140.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	87	$173.00	$68.19
99213 Established patient office or other outpatient visit, typically 15 minutes	112	89	$122.00	$46.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$188.00	$94.08
J1040 Injection, methylprednisolone acetate, 80 mg	61	27	$17.05	$11.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	27	$50.00	$11.29
G0008 Administration of influenza virus vaccine	27	26	$38.00	$15.60
90662 Influenza vaccine split virus, preservative free	26	25	$90.00	$58.17
G0009 Administration of pneumococcal vaccine	17	17	$38.00	$15.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$163.67	$117.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	105	$170.06	$68.33
99213 Established patient office or other outpatient visit, typically 15 minutes	156	132	$116.40	$46.48
J1040 Injection, methylprednisolone acetate, 80 mg	101	44	$15.48	$12.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	46	$50.00	$13.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$181.80	$93.38
G0008 Administration of influenza virus vaccine	41	41	$38.00	$15.31
90662 Influenza vaccine split virus, preservative free	37	37	$90.00	$54.68
G0010 Administration of hepatitis b vaccine	18	11	$38.00	$15.31
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	17	11	$235.00	$120.92
G0009 Administration of pneumococcal vaccine	14	14	$38.00	$15.31
81002 Urinalysis, manual test	13	11	$6.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	115	$168.00	$75.18
99213 Established patient office or other outpatient visit, typically 15 minutes	139	120	$114.00	$51.00
J1040 Injection, methylprednisolone acetate, 80 mg	89	39	$13.70	$12.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	45	$50.00	$15.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$177.00	$90.41
G0008 Administration of influenza virus vaccine	17	17	$38.00	$18.71
90662 Influenza vaccine split virus, preservative free	15	15	$87.73	$52.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$266.00	$136.70
81002 Urinalysis, manual test	14	14	$6.00	$3.41
G0009 Administration of pneumococcal vaccine	12	12	$38.00	$18.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	161	$114.00	$53.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	100	$168.00	$80.83
J1040 Injection, methylprednisolone acetate, 80 mg	80	31	$10.00	$9.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	41	$50.00	$19.61
G0008 Administration of influenza virus vaccine	26	25	$38.00	$22.90
90662 Influenza vaccine split virus, preservative free	24	23	$70.63	$47.28
81002 Urinalysis, manual test	22	22	$6.00	$3.11

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3005772

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3085138 (OH)

Medicaid State Provider ID

7100077370 (KY)

Commercial Insurance / Payer ID Railroad Medicare

P00821192 (KY)

Commercial Insurance / Payer ID Railroad Medicare

P00726170 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

2300 Chamber Ctr Dr, Lakeside Park, KY 410171686

Phone: 8593413114

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

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Family Medicine

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Doctor of Medicine (M.D.)

Dr. Zachary Grove , MD

Family Medicine

NPI 1235698242

Doctor of Medicine (M.D.)

Dr. Marta Fischer , DO

Family Medicine

NPI 1275701195

Doctor of Osteopathic Medicine (D.O.)

Tina Gutekunst

Nurse Practitioner

NPI 1295184679

Dr. Christina Friedly , DO

Family Medicine

NPI 1366920373

Doctor of Osteopathic Medicine (D.O.)

Dr. Fred Dunaway , MD

Family Medicine

NPI 1407812720

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address September 11, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593413114)

✅

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2015

Registered at 2300 CHAMBER CENTER DRIVE, SUITE 100, FORT MITCHELL, KY 410171673 (Tel: 8593413114)

📍

Updated Business Mailing Address November 11, 2015

Registered at 2300 CHAMBER CENTER DRIVE, SUITE 300, FORT MITCHELL, KY 410171673 (Tel: 8593413114)

👤

Provider Name / Credentials Updated November 11, 2015

Recorded as SHELBY THORNTON, A.P.R.N.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Nurse Practitioner (License #3005772 in KY)

🟢

Initial NPI Registration & Enumeration July 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053577189

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2008

Last Update: September 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593413114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.