Dr. Carol L Shackleton

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Carol L Shackleton
Gender:	F
Provider License Number If Given:	16620

NPI Information:

NPI:	1629004759
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/23/2006
Last Update Date:	2/9/2012
Reputation Report:

Provider Business Mailing Address:

Address:	918 20TH STREET Gothenburg, NE 69138
Phone Number:	3085377131
Fax Number:	3085377310

Provider Business Practice Location Address:

Address:	918 20TH STREET Gothenburg, NE 69138
Phone Number:	3085377131
Fax Number:	3085377310

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):
State:	NE

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About Dr. Carol L Shackleton

Dr. Carol L Shackleton (DR. CAROL L SHACKLETON ) is Family Family Medicine Physician in Gothenburg, NE. The NPI Number for Dr. Carol L Shackleton is 1629004759.

The current location address for Dr. Carol L Shackleton is 918 20TH STREET Gothenburg, NE 69138 and the contact number is 3085377131 and fax number is 3085377310. The mailing address for Dr. Carol L Shackleton is 918 20TH STREET Gothenburg, NE 69138- 3085377131 (mailing address contact number - 3085377131).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Carol L Shackleton ?

Answer: The NPI Number for Dr. Carol L Shackleton is 1629004759

Where is Dr. Carol L Shackleton located?

Answer: Dr. Carol L Shackleton is located at 918 20TH STREET Gothenburg, NE 69138.

What is the specialty for Dr. Carol L Shackleton ?

Answer: The Specialty of Dr. Carol L Shackleton is Family Family Medicine Physician.

Are there any online reviews for Dr. Carol L Shackleton ?

Answer: Yes! Check It Now.

Are there any other health care providers in Gothenburg, NE?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Carol L Shackleton

Number of HCPCS	10
Number of Medicare Beneficiaries	22
Number of Services	31
Total Submitted Charge Amount	6380
Total Medicare Allowed Amount	3011.73
Total Medicare Payment Amount	2513.88
Total Medicare Standardized Payment Amount	2610.65
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	10
Number of Medicare Beneficiaries With Medical	22
Number of Medical Services	31
Total Medical Submitted Charge Amount	6380
Total Medical Medicare Allowed Amount	3011.73
Total Medical Medicare Payment Amount	2513.88
Total Medical Medicare Standardized Payment Amount	2610.65
Average Age of Beneficiaries	78
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.5
Percent (%) of Beneficiaries Identified With Hypertension	0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.55
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	1.3555

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	455
Number of Standardized 30-Day Fills	458.56666667
Aggregate Cost Paid for All Claims	13515.8
Number of Day's Supply for All Claims	12827
Number of Medicare Beneficiaries	34
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	62
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	393
Aggregate Cost Paid for Generic Drugs	6475.66
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	184
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	4409.54
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	271
Aggregate Cost Paid for Claims Filled by	9106.26
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	377
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	10604.78
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	78
by Low-Income Subsidy	2911.02
Total Claims of Opioid Drugs, Including	29
Aggregate Cost Paid for Opioid Drugs	441.94
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	6.3736263736
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	13
Aggregate Cost Paid for Antibiotic Drugs	151.4
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	76.794117647
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White	32
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement	22
Average Hierarchical Condition Category	1.3423235294

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