JOHN M SHETLAR (DO) – Family Medicine Physician, NPI 1821053091
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8 GENERAL PRACTICE in WY
Provider Addresses for JOHN M SHETLAR (DO)
4140A Laramie St
Cheyenne, WY 820011969
Phone: (307) 637-2800
Fax: (307) 637-2867
Type: Location
4140 Laramie St
Cheyenne, WY 820011969
Phone: (307) 637-2800
Fax: (307) 637-2867
Type: Location
110 N 66th St
Lincoln, NE 685052402
Phone: (402) 325-8950
Type: Location
202 E Nifong Blvd
Columbia, MO 652033759
Phone: (573) 874-6825
Type: Location
2741 NE McBaine Dr
Lees Summit, MO 640647880
Phone: (816) 554-2600
Type: Location
1100 N 4TH ST
LEAVENWORTH, KS 660481572
Phone: (888) 381-4858
Fax: (913) 297-9628
Type: Mailing
7380 W 52nd Ave Unit 1
Arvada, CO 800023716
Phone: (303) 463-5941
Fax: (303) 463-5951
Type: Location
1410, East Iron Avenue, Salina, Saline County, Kansas, 67401, United States
SUITE 1
SALINA, KS 674013284
Phone: (888) 878-6881
Fax: (785) 825-0644
Type: Mailing
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: 2025-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20071130000326 | I | Family Practice | KS | TBD |
| I20230420001868 | I | General Practice | CO | TBD |
| I20230523000309 | I | General Practice | MO | TBD |
| I20230918000443 | I | General Practice | NE | TBD |
| I20250911003199 | I | General Practice | WY | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 38 | $0 |
Insurance plans in this area (ZIP 82001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Physician Assistant | TX | |
| Physician Assistant | CO | |
| Physician Assistant | NC | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | WY | |
| - | CO |
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