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KENNETH SHUMAN MD
NPI 1043266059
Family Medicine in Durham, NH

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
36 MADBURY RD, DURHAM, NH 03824(603) 868-5080(603) 868-7440 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth Shuman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH SHUMAN MD (NPI 1043266059) is an individual family medicine provider in Durham, New Hampshire, licensed in New Hampshire (11939) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Georgetown University School Of Medicine (1992).

NPPES Registry Identity

NPI1043266059
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH SHUMANCredential: MD
Location Address36 MADBURY RDDurham, NH 03824-2021
Mailing Address789 Central AveDover, NH 03820-2526 · (603) 868-5080 · Fax (603) 868-7440
Phone(603) 868-5080
Fax(603) 868-7440
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1992
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 20, 2014
✔ NPI 1043266059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NH · 11939✔ Licensed in ME · MD16159
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36 MADBURY RD, Durham, NH 03824
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Other Identifiers 4

Medicare PINMM005701NH
Medicaid1043266059ME
Medicare UPINH06241ME
Medicaid3076101NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Shuman 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.

PECOS PAC ID3971548124
PECOS Enrollment IDI20080417000183
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Shuman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wentworth Douglass Physician Corporation
5.3 mi
Diabetes Educator
10 MEMBERS WAY FL 5
Dover, NH 03820
  • Reassigned Medicare billing, New Hampshire enrollment
  • 559 clinicians in this Medicare group
NPI 1336751825 (603) 609-6800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services42 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
28 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03824 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims52 services$5.83 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$4.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK R BLACKWOOD MD
Family Medicine
36 MADBURY RD
DURHAM, NH 03824
Strafford County (603) 868-5080
TALLEY E SLATE APRN
Nurse Practitioner (Family)
36 MADBURY RD
DURHAM, NH 03824
Strafford County (603) 868-5080

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 Kenneth Shuman's NPI number?

The NPI number for Kenneth Shuman is 1043266059. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Kenneth Shuman located?

Kenneth Shuman practices at 36 Madbury Rd, Durham, NH 03824. The listed phone number is (603) 868-5080.

What is Kenneth Shuman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Shuman enrolled in Medicare?

Yes. Kenneth Shuman 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.

Which organization bills Medicare for Kenneth Shuman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Shuman reassigns Medicare benefits to Wentworth Douglass Physician Corporation (Dover, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Shuman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Shuman accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Kenneth Shuman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Shuman affiliated with any hospitals?

According to CMS data, Kenneth Shuman is affiliated with Elliot Hospital, Wentworth-Douglass Hospital and Exeter Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Shuman was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.