MATTHEW E SHAMBAUGH (MD) – Plastic Surgery Physician, NPI 1700888617

MATTHEW E SHAMBAUGH (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 01038077A (IN). The NPI Number for MATTHEW E SHAMBAUGH (MD) is 1700888617

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW E SHAMBAUGH (MD)
NPI
1700888617
Phone
(260) 490-7111
Address
7920 W JEFFERSON BLVD STE 200
Enumeration Date
10 August 2005
Last Update Date
18 April 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2604907111
Graduation Year
1984 (42 years ago)
PAC ID
2567430812
Professional Enrollment ID
I20091223000116
Address ID
IN468251603FO2510XRDXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN

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Provider Addresses for MATTHEW E SHAMBAUGH (MD)

  • 200, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46802, United States

    FORT WAYNE, IN 468044166

    Phone: (260) 490-7111

    Fax: (260) 490-2286

    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 4 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Davol Inc. ($48).

Total Amount

$113

General + Research + Ownership

Payments

4

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-12-23

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
I20091223000116IPlastic And Reconstructive SurgeryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3026$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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Reviews

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Frequently asked questions

Can I use this page to confirm MATTHEW E SHAMBAUGH (MD)'s NPI?
Yes. MATTHEW E SHAMBAUGH (MD) is listed with NPI 1700888617 in the public NPI dataset.
Is MATTHEW E SHAMBAUGH (MD) still practicing?
MATTHEW E SHAMBAUGH (MD) is currently listed as active in the public NPI registry.
What is MATTHEW E SHAMBAUGH (MD) best known for clinically?
Directory data describes MATTHEW E SHAMBAUGH (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MATTHEW E SHAMBAUGH (MD)?
MATTHEW E SHAMBAUGH (MD)'s geographic hint is Fort Wayne, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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