Active NPI 1518284009 Individual Practitioner Female Practitioner

Shelby Lawrence Barthel , NP

Nurse Practitioner • Durham, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shelby Barthel, NP is a certified Nurse Practitioner practicing in Durham, NC. With approximately 17 years of clinical experience since completing medical education in 2009, Shelby Barthel delivers high-quality medical care to the local community at 1000 TRENT DR.

Shelby Barthel is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Trent Dr

Durham, NC 277100001

Telephone 9196848111

Associated Practice Facility / Clinic

🏢 Duke University Facility NPI 1841222395

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Durham, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +4.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

280 Specialists

Practicing in Durham, NC (4565 Statewide)

Telehealth Adoption Rate

23.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barthel (17 Years) 17 Yrs

Durham Specialty Average (12.5 Years) 12.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	206	$255.00	$76.97
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$172.00	$52.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$390.00	$105.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$255.00	$94.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$255.00	$64.96

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	293	220	$255.00	$78.79
99213 Established patient office or other outpatient visit, typically 15 minutes	52	47	$172.00	$53.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$390.00	$107.90

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	308	228	$255.88	$80.96
99213 Established patient office or other outpatient visit, typically 15 minutes	112	97	$174.96	$55.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$255.00	$68.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$390.00	$111.76

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	287	249	$257.35	$82.79
99213 Established patient office or other outpatient visit, typically 15 minutes	73	70	$175.41	$55.36
99441 Telephone medical discussion with physician, 5-10 minutes	32	30	$55.00	$29.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$255.00	$67.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$391.71	$110.81
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$84.12	$56.36

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	293	249	$256.38	$64.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$390.00	$108.12
99441 Telephone medical discussion with physician, 5-10 minutes	38	34	$55.00	$21.54
99442 Telephone medical discussion with physician, 11-20 minutes	30	28	$73.00	$42.90
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$185.11	$42.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$255.00	$63.20

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	296	255	$255.82	$64.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	112	107	$344.00	$92.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$391.12	$105.27
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$177.93	$42.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.00	$63.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	335	271	$335.55	$89.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$384.93	$100.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$253.30	$64.70
36415 Insertion of needle into vein for collection of blood sample	12	11	$20.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	442	334	$320.11	$90.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$367.61	$105.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$239.00	$62.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$238.00	$62.79

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5004610

(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.

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Duke Health Integrated Practice Inc

20 Duke Medicine Cir, Durham, NC 277102000

Phone: 9196848111

Duke Health Integrated Practice Inc

6301 Herndon Rd, Durham, NC 277136315

Phone: 9196848111

Duke Health Integrated Practice Inc

234 Crooked Creek Pkwy, Durham, NC 277138505

Phone: 9196848111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Nicolas Aeschlimann , MD

Anesthesiology

NPI 1003063116

Doctor of Medicine (M.D.)

Dr. Hongyun Zhu , MD

Radiology - Diagnostic Radiology

NPI 1003094103

Doctor of Medicine (M.D.)

Dr. Wilbur Dattilo , MD

Psychiatry & Neurology - Psychiatry

NPI 1003107483

Doctor of Medicine (M.D.)

Dr. Erin Manning , MD

Anesthesiology

NPI 1003139049

Doctor of Medicine (M.D.)

Dr. Candice Ray , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1003159179

Doctor of Medicine (M.D.)

Dr. Stephen Greene , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1003170861

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 November 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2011

Registered at 1000 TRENT DR, DURHAM, NC 277100001 (Tel: 9196848111)

📍

Updated Business Mailing Address November 16, 2011

Registered at 5213 S ALSTON AVE, DURHAM, NC 277134430 (Tel: 9196205041)

👤

Provider Name / Credentials Updated November 16, 2011

Recorded as SHELBY BARTHEL, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2011

Nurse Practitioner (License #5004610 in NC)

🟢

Initial NPI Registration & Enumeration April 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Shelby Barthel. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518284009

Entity Type:

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

Enumeration Date: April 23, 2010

Last Update: November 16, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5213 S Alston Ave

Durham, NC 277134430

Phone: 9196205041

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.