DR. JOHN V SHUFFLEBARGER (M.D.) – Surgery of the Hand (Surgery) Physician, NPI 1083698112
Surgery of the Hand (Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
210 PLASTIC AND RECONSTRUCTIVE SURGERY in MA
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Provider Addresses for DR. JOHN V SHUFFLEBARGER (M.D.)
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022410001
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
UMass Memorial Medical Center - Hahnemann Campus, 281, Lincoln Street, Washburn and Moen North Works Historic District, Brittan Square, Worcester, Worcester County, Massachusetts, 01605, United States
DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY
WORCESTER, MA 016052138
Phone: (508) 334-5952
Fax: (508) 334-5752
Type: Location
123 SUMMER ST STE 370N
WORCESTER, MA 016081216
Phone: (508) 964-5580
Fax: (508) 368-3957
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 $1,519.
Total Amount is formed as General ($1,519) + Research ($0) + Ownership ($0) = $1,519.
Last reported payment date: 2023-04-15 • Largest payer in this snapshot: Anika Therapeutics, Inc. ($1,451).
Total Amount
$1,519
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Anika Therapeutics, Inc. | $1,451 |
| Skeletal Dynamics Inc | $68 |
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: 2004-12-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041208000308 | I | Plastic And Reconstructive Surgery | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 172 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
| 64721 | Release and/or relocation of hand nerve | 41 | 37 | $0 |
Insurance plans in this area (ZIP 02241)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | MA | 64721 | Release and/or relocation of median nerve of hand | 22 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MA | |
| Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| Physical Therapist In Private Practice | MA | |
| Physician Assistant | MA | |
| Family Practice | MA | |
| Clinical Psychologist | MA | |
| - | MA |
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