MATTHEW SHAUGHNESSY MD
NPI 1003264854
Surgery - Pediatric Surgery in Boston, MA
About Matthew Shaughnessy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW SHAUGHNESSY MD (NPI 1003264854) is an individual pediatric surgery provider in Boston, Massachusetts, licensed in Massachusetts (1022723) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Shaughnessy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Shaughnessy's NPI number?
The NPI number for Matthew Shaughnessy is 1003264854. It was assigned to this individual provider in the NPPES registry on June 1, 2016.
Where is Matthew Shaughnessy located?
Matthew Shaughnessy practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-8878.
What is Matthew Shaughnessy's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Matthew Shaughnessy enrolled in Medicare?
Yes. Matthew Shaughnessy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Matthew Shaughnessy was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Shaughnessy, MD · NPI 1003264854
Pediatric Surgery physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 1, 2016.
## Identity
- **NPI:** 1003264854 (Entity type: Individual)
- **Enumerated:** June 1, 2016
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 1022723 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 726-8878
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Tufts University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003264854) · Data from the CMS NPPES public registry.