SHELLY L DUNMYER M.D.
NPI 1053392555
Family Medicine in Zanesville, OH

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
3620 COURT DR, ZANESVILLE, OH 43701(740) 454-1248(740) 342-6702 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelly L Dunmyer M.d. NPPES

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

SHELLY L DUNMYER M.D. (NPI 1053392555) is an individual family medicine provider in Zanesville, Ohio, licensed in Ohio (35075041D) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Ohio State University College Of Medicine (1999).

NPPES Registry Identity

NPI1053392555
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHELLY L DUNMYERCredential: M.D.
Location Address3620 COURT DRZanesville, OH 43701-6456
Mailing AddressPo Box 1821Zanesville, OH 43702-1821 · (740) 455-3304 · Fax (740) 455-3686
Fax(740) 342-6702
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1999
Enumeration DateNovember 10, 2005
Last NPPES UpdateAugust 24, 2010
NPI 1053392555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35075041D
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.

3620 COURT DR, Zanesville, OH 43701

Other Identifiers 3

Medicare UPINH15726OH
Medicare ID-Type Unspecified4020342OH
Medicaid2078648OH

Accepted Insurance

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

Shelly L Dunmyer M.d. 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 ID1153425178
PECOS Enrollment IDI20080724000383
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.

Areas of Expertise CMS Part B claims 15

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.

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
422 services356 patients
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.
333 services209 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
281 services153 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.
242 services140 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
178 services164 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.
167 services167 patients

Hospital Affiliations CMS Care Compare 2

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%172 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%344 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 27

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
18 suppliers90 claims290 services$6.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers17 claims31 services$1.15 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
2 suppliers13 claims210 services$2.96 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers19 claims925 services$0.19 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers17 claims34 services$61.51 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier11 claims66 services$25.13 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 7

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

Nurse Practitioner
3620 COURT DR
ZANESVILLE, OH 43701
Nurse Practitioner (Family)
3620 COURT DR, BLDG K
ZANESVILLE, OH 43701
Family Medicine
3620 COURT DR
ZANESVILLE, OH 43701
Nurse Practitioner
3620 COURT DR, BLDG K
ZANESVILLE, OH 43701
Family Medicine
3620 COURT DR
ZANESVILLE, OH 43701
Counselor (Mental Health)
3620 COURT DR
ZANESVILLE, OH 43701
Pharmacist (Pharmacotherapy)
3620 COURT DR
ZANESVILLE, OH 43701

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 Shelly Dunmyer's NPI number?

The NPI number for Shelly Dunmyer is 1053392555. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Shelly Dunmyer located?

Shelly Dunmyer practices at 3620 Court Dr, Zanesville, OH 43701. The listed phone number is (740) 454-1248.

What is Shelly Dunmyer's specialty?

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

Is Shelly Dunmyer enrolled in Medicare?

Yes. Shelly Dunmyer 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.

What insurance does Shelly Dunmyer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Shelly Dunmyer 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 Shelly Dunmyer affiliated with any hospitals?

According to CMS data, Shelly Dunmyer is affiliated with Genesis Hospital and Southeastern Ohio Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shelly Dunmyer was last updated on August 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.