MICHAEL PAUL JR. SHAUGHNESSY (MD) – MOHS-Micrographic Surgery Physician, NPI 1235767849
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MA
Provider Addresses for MICHAEL PAUL JR. SHAUGHNESSY (MD)
2014 WASHINGTON ST
NEWTON, MA 024621699
Phone: (617) 243-6467
Fax: (617) 243-6701
Type: Mailing
8 MARKET XING
PLYMOUTH, MA 023607736
Phone: (508) 224-3800
Type: Mailing
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-8311
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: 2025-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240507002926 | I | Dermatology | OR | TBD |
| I20250806002457 | I | Micrographic Dermatologic Surgery (Mds) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | RI | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | MD | |
| Physician Assistant | MA |
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