PROVIDER PROFILE · NPI 1588651715

Carl SheltonMD

PRACTICEALTERNATIVE AND INTEGRATIVE MEDICINESee all providers at this practice →

Physical Medicine and RehabilitationEdgewood, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,298

Unique beneficiaries

—

Total services

4,243

Distinct HCPCS

Medicare payment

$225K

Peer benchmark

Total Medicare services vs. 91 Physical Medicine and Rehabilitation providers in KY — top quintile (cohort median 870).

PRESCRIBING · PART D · 2024

Total Rx claims

583

Beneficiaries

—

Total drug cost

$18K

Distinct drugs

Brand share

21.4%

Top prescribed drugs

Atorvastatin Calcium42 claims

Pantoprazole Sodium38 claims

Oxycodone Hcl35 claims

Amlodipine Besylate30 claims

Trazodone Hcl28 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

100.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Carl Shelton's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 102 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GATEWAY AT FLORENCE REHABILITATION HOSPITAL, LLC	441	947
Kenneth Mook Physical Medicine and Rehabilitation · New Orleans, LA	435	1,774
St Elizabeth Medical Center, Inc Portable X-Ray Supplier · Edgewood, KY	279	847
Rural Metro Of Southern Ohio Inc Ambulance Service Provider · Erlanger, KY	178	474
ST ELIZABETH MEDICAL CENTER, INC	136	331
Deepak Mittal Nephrology · Florence, KY	108	334
Ralph Huller Pulmonary Disease · Crestview Hills, KY	76	192
LUBBERS, DAVID	75	151
MARKS, BYRON	73	168
Anne Kleimeyer Diagnostic Radiology · Crestview Hills, KY	72	156
Eric Neils Diagnostic Radiology · Edgewood, KY	67	130
Eric Brandser Diagnostic Radiology · Edgewood, KY	56	137

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history