SCOTT SHADFAR (MD) – Facial Plastic Surgery Physician, NPI 1710148283

SCOTT SHADFAR (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 31708 (OK). The NPI Number for SCOTT SHADFAR (MD) is 1710148283

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT SHADFAR (MD)
NPI
1710148283
Phone
(405) 657-3895
Address
3001 QUAIL SPRINGS PKWY FL 5
Enumeration Date
18 June 2008
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4055344358
Graduation Year
2008 (18 years ago)
PAC ID
2860616919
Professional Enrollment ID
I20160203002064
Address ID
OK730348696ED4509XPKWY304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

113 OTOLARYNGOLOGY in OK

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Provider Addresses for SCOTT SHADFAR (MD)

  • 3001 QUAIL SPRINGS PKWY FL 5

    OKLAHOMA CITY, OK 731342640

    Phone: (405) 657-3895

    Fax: (405) 657-3896

    Type: Mailing

  • 5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    SUITE 280

    OKLAHOMA CITY, OK 731125556

    Phone: (405) 657-3895

    Fax: (405) 657-3896

    Type: Mailing

  • INTEGRIS Parkway, Edmond, Oklahoma County, Oklahoma, 73034-8584, United States

    SUITE 200

    EDMOND, OK 730348696

    Phone: (405) 657-3895

    Fax: (405) 657-3896

    Type: Location

  • 4509 INTEGRIS PKWY STE 350

    EDMOND, OK 730348696

    Phone: (405) 657-3895

    Fax: (405) 657-3896

    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: 2016-02-03

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
I20160203002064IOtolaryngologyOKTBD

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
15004Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less10992$0
15770Creation of skin, fat and muscle graft10286$0
14302Repair of wound by transferring skin, each additional 30.0 sq cm9747$0
99204New patient office or other outpatient visit, 45-59 minutes9797$0
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less8363$0
View full utilization report →

Insurance plans in this area (ZIP 73134)

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Provider's Procedures

SCOTT SHADFAR (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYOK14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1615

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Frequently asked questions

Where can patients find SCOTT SHADFAR (MD)'s NPI?
You can confirm SCOTT SHADFAR (MD) with NPI 1710148283; it appears in the national provider directory.
Is SCOTT SHADFAR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SCOTT SHADFAR (MD)?
The page reflects Facial Plastic Surgery Physician for SCOTT SHADFAR (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT SHADFAR (MD)?
The page summarizes Oklahoma City, Oklahoma for SCOTT SHADFAR (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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