DR. MATTHEW RAYMOND SHANDY (MD) – Obstetrics & Gynecology Physician, NPI 1902484660

DR. MATTHEW RAYMOND SHANDY (MD) is a healthcare provider. based in Overland park, Kansas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 1902484660 (KS). The NPI Number for DR. MATTHEW RAYMOND SHANDY (MD) is 1902484660

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW RAYMOND SHANDY (MD)
NPI
1902484660
Phone
(913) 541-6022
Address
12200 W 106TH ST STE 325
Enumeration Date
1 April 2021
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5617952400
Graduation Year
2021 (5 years ago)
PAC ID
5597166157
Group Practice PAC ID
9335213388
Professional Enrollment ID
I20250826004473
Address ID
FL334704991LO12953DRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

382 OBSTETRICS/GYNECOLOGY in KS

Provider Addresses for DR. MATTHEW RAYMOND SHANDY (MD)

  • 12200 W 106TH ST STE 325

    OVERLAND PARK, KS 662152305

    Phone: (913) 541-6022

    Fax: (913) 541-5625

    Type: Mailing

  • 10500 QUIVIRA RD

    OVERLAND PARK, KS 662152306

    Phone: (913) 541-5000

    Fax: (913) 541-5625

    Type: Location

  • 12953 PALMS WEST DR STE 101

    LOXAHATCHEE, FL 334704991

    Phone: (561) 795-2400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Biogen, Inc. ($39).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Biogen, Inc.$39
Organon LLC$18
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: 2025-08-26

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
I20250826004473IObstetrics/GynecologyFLTBD

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 66215)

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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: 9335213388View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
Physician AssistantFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Does DR. MATTHEW RAYMOND SHANDY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MATTHEW RAYMOND SHANDY (MD) uses 1902484660.
Can I rely on DR. MATTHEW RAYMOND SHANDY (MD) being an active provider?
As of the registry snapshot, DR. MATTHEW RAYMOND SHANDY (MD) is marked active.
What is DR. MATTHEW RAYMOND SHANDY (MD) best known for clinically?
Directory data describes DR. MATTHEW RAYMOND SHANDY (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MATTHEW RAYMOND SHANDY (MD)?
DR. MATTHEW RAYMOND SHANDY (MD)'s geographic hint is Overland Park, Kansas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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