Active NPI 1538223870 Individual Practitioner Male Practitioner

Dr. Robert Leslie Shelton , MD

Surgery • Leominster, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Shelton, MD is a certified Surgery practicing in Leominster, MA. With approximately 41 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1985, Dr. Shelton delivers high-quality medical care to the local community at 100 HOSPITAL RD.

Dr. Shelton is affiliated with R Leslie Shelton Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Hospital Rd
Suite 2b

Leominster, MA 014532253

Telephone 9788406481

Associated Practice Facility / Clinic

🏢 Medical Associates Pediatrics, P.c. Facility NPI 1417946161

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Leominster, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +1.3 yrs vs City Avg

City Avg: 39.7 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Leominster, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shelton (41 Years) 41 Yrs

Leominster Specialty Average (39.7 Years) 39.7 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	124	41	$150.00	$49.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$350.00	$114.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	53	53	$1000.00	$218.15
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$325.00	$93.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$400.00	$132.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	29	$225.00	$58.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$450.00	$131.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$500.00	$174.17
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	26	24	$1292.31	$443.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$450.00	$171.30
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$700.00	$109.51
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1100.00	$330.11
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	15	$1150.00	$300.57
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2970.00	$720.16
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$400.00	$82.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	113	40	$127.43	$50.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$350.00	$115.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	34	$225.00	$58.71
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$304.27	$93.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	33	$375.63	$131.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$414.71	$171.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	29	$1000.00	$240.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$500.00	$176.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$450.00	$132.55
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$400.00	$84.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1100.00	$335.76
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2970.00	$732.62
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$900.00	$158.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$350.00	$117.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	53	$225.00	$59.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	24	$100.00	$39.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$400.00	$175.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$500.00	$204.19
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$275.00	$95.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	36	$1000.00	$236.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$325.00	$135.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$500.00	$232.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	18	$1100.00	$338.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$375.00	$190.00
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	17	14	$1000.00	$303.17
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2970.00	$757.62
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs	15	14	$900.00	$319.12
49505 Repair of groin hernia (5 years or older)	14	14	$1790.00	$572.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$450.00	$139.31
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$800.00	$143.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	95	48	$100.00	$39.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$350.00	$118.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	51	$225.00	$59.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	56	$500.00	$208.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$400.00	$177.31
99213 Established patient office or other outpatient visit, typically 15 minutes	40	29	$275.00	$96.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$325.00	$137.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	25	$1000.00	$237.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$375.00	$191.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$450.00	$141.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$1100.00	$351.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$500.00	$233.98
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	17	16	$1235.29	$481.74
49505 Repair of groin hernia (5 years or older)	13	13	$1790.00	$555.06
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	12	$800.00	$162.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	32	$99.72	$41.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$350.00	$114.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	47	$225.00	$48.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$400.00	$174.82
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$275.00	$80.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$478.05	$214.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$325.00	$115.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$375.00	$155.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$461.11	$220.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1100.00	$364.44
43246 Insertion of stomach tube using a flexible endoscope	12	12	$600.00	$144.94
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	11	11	$1000.00	$484.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	50	$80.00	$41.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$350.00	$114.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	63	$225.00	$47.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	71	$450.00	$211.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$400.00	$173.04
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$275.00	$78.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$325.00	$114.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$1100.00	$357.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$1000.00	$199.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$450.00	$217.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$375.00	$153.29
49505 Repair of groin hernia (5 years or older)	11	11	$1790.00	$562.72
43246 Insertion of stomach tube using a flexible endoscope	11	11	$600.00	$128.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$350.00	$109.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	32	$80.00	$39.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$450.00	$204.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	50	$173.21	$44.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$400.00	$166.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$280.00	$109.08
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$246.05	$74.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$355.56	$147.10
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1100.00	$349.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$450.00	$209.48
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2970.00	$738.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$1000.00	$226.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$334.21	$107.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	40	$80.00	$38.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	52	$117.01	$43.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	63	$424.63	$199.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	53	$216.27	$107.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$383.78	$162.61
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$168.57	$72.79
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2970.00	$711.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$1000.00	$196.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$317.31	$143.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$391.67	$134.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1100.00	$340.78
49505 Repair of groin hernia (5 years or older)	11	11	$1790.00	$566.18

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 77214

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3060322 (MA)

Hospital & Practice Group Affiliations

R Leslie Shelton Md Pc

100 Hospital Rd, Leominster, MA 014532244

Phone: 9788406481

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Nathaniel Merrell , MD

Surgery

NPI 1922162262

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 100 HOSPITAL RD, SUITE 2B, LEOMINSTER, MA 014532253 (Tel: 9788406481)

📍

Updated Business Mailing Address July 08, 2007

Registered at 100 HOSPITAL RD, SUITE 2B, LEOMINSTER, MA 014532253 (Tel: 9788406481)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SHELTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #77214 in MA)

🟢

Initial NPI Registration & Enumeration December 21, 2006

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: 1538223870

Entity Type:

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

Enumeration Date: December 21, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Hospital Rd, Suite 2b

Leominster, MA 014532253

Phone: 9788406481

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

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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.