SHAUN NAZAR (D.O.) – Family Medicine Physician, NPI 1104208099

SHAUN NAZAR (D.O.) is a healthcare provider. based in Clewiston, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OS13600 (FL). The NPI Number for SHAUN NAZAR (D.O.) is 1104208099

Main info

Male
13 Years Of Experience
Name
SHAUN NAZAR (D.O.)
NPI
1104208099
Phone
(863) 983-3434
Address
500 W SAGAMORE AVE
Enumeration Date
26 June 2015
Last Update Date
27 July 2016

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
0840578209
Group Practice PAC ID
8022912435
Professional Enrollment ID
I20161107000217
Address ID
FL334403514CL524XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for SHAUN NAZAR (D.O.)

  • 500 W SAGAMORE AVE

    CLEWISTON, FL 334403514

    Phone: (863) 983-3434

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $754.

Total Amount is formed as General ($754) + Research ($0) + Ownership ($0) = $754.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($236).

Total Amount

$754

General + Research + Ownership

Payments

28

Total payment records

General Amount

$754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161107000217IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022912435View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
Physician AssistantFL
Nurse PractitionerFL
General PracticePR
Family PracticeFL
General SurgeryFL
-FL
Physician AssistantFL
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does SHAUN NAZAR (D.O.) have a public NPI I can cite?
Public records show SHAUN NAZAR (D.O.) under NPI 1104208099.
Should I treat SHAUN NAZAR (D.O.) as an active provider?
Patients and plans typically see SHAUN NAZAR (D.O.) as active in the national extract.
What services align with SHAUN NAZAR (D.O.)'s listing?
SHAUN NAZAR (D.O.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SHAUN NAZAR (D.O.)?
SHAUN NAZAR (D.O.) shows a connection to Clewiston, Florida in registry-derived data.
Can I export SHAUN NAZAR (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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