BARBARA SHIDELER (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1104892348

BARBARA SHIDELER (MD) is a healthcare provider. based in Delray beach, Florida. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 04-27150 (KS). The NPI Number for BARBARA SHIDELER (MD) is 1104892348

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
BARBARA SHIDELER (MD)
NPI
1104892348
Phone
(561) 381-6012
Address
5352 Linton Blvd
Enumeration Date
27 February 2006
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9416276128
Graduation Year
1995 (31 years ago)
PAC ID
9638108590
Group Practice PAC ID
9133244346
Professional Enrollment ID
I20211006001631
Address ID
FL339526705PO21298BLVD300

Contacts

Main Contact
ethospathology.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

960 PATHOLOGY in FL

Provider Addresses for BARBARA SHIDELER (MD)

  • 5352 Linton Blvd

    Delray Beach, FL 334846514

    Phone: (561) 381-6012

    Fax: (561) 495-3475

    Type: Location

  • PO BOX 741087

    ATLANTA, GA 303741087

    Phone: (941) 627-6128

    Fax: (941) 764-7071

    Type: Mailing

  • 21298 OLEAN BLVD

    PORT CHARLOTTE, FL 339526705

    Phone: (941) 627-6128

    Fax: (941) 764-7071

    Type: Location

  • Wichita Post Office, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States

    WICHITA, KS 672013462

    Phone: (316) 685-6236

    Fax: (316) 652-0340

    Type: Mailing

  • Cypress Surgery Center, 9300, East 29th Street North, Wichita, Sedgwick County, Kansas, 67226, United States

    SUITE 208

    WICHITA, KS 672262182

    Phone: (316) 636-5666

    Fax: (316) 652-0340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-10-06

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
I20211006001631IPathologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88341Special stained specimen slides to examine tissue, each additional procedure766122$0
88305Pathology examination of tissue using a microscope, intermediate complexity743467$0
88304Pathology examination of tissue using a microscope, moderately low complexity251235$0
84165Protein measurement, serum225221$0
88300Pathology examination of tissue using a microscope, limited examination214195$0
View full utilization report →

Insurance plans in this area (ZIP 33484)

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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: 9133244346View full group profile

Reviews

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Frequently asked questions

Is BARBARA SHIDELER (MD) listed with a National Provider Identifier?
Yes — BARBARA SHIDELER (MD) has NPI 1104892348 on file in the registry.
Active or inactive — what applies to BARBARA SHIDELER (MD)?
You should see BARBARA SHIDELER (MD) as active in CMS-hosted NPPES data.
What kind of doctor is BARBARA SHIDELER (MD)?
BARBARA SHIDELER (MD) is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is BARBARA SHIDELER (MD) registered?
Use Delray Beach, Florida as the headline location for BARBARA SHIDELER (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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