NATHAN R SHUMAKER MD
NPI 1215145347
Pathology - Cytopathology in Charlottesville, VA

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2047 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nathan R Shumaker Md NPPES

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

NATHAN R SHUMAKER MD (NPI 1215145347) is an individual cytopathology provider in Charlottesville, Virginia, licensed in Virginia (0101241042) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1215145347
Entity TypeIndividualMale
Primary Taxonomy207ZC0500X
Provider Legal NameNATHAN R SHUMAKERCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 800778Charlottesville, VA 22908-0778 · (505) 948-8299
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 9, 2009
NPI 1215145347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · CytopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0500X
License Licensed in VA · 0101241042
Definition

A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

1215 LEE ST, Charlottesville, VA 22908

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

Nathan R Shumaker 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 ID9931259934
PECOS Enrollment IDI20210430001855
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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
765 services449 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
765 services181 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
415 services250 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
265 services233 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
213 services148 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
115 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340016
Location68 Hospital RdSylva, NC 28779 · Jackson County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Pharmacist
1215 LEE ST, UVA MEDICAL CENTER OUTPATIENT PHARMACY
CHARLOTTESVILLE, VA 22908
Radiology (Diagnostic Radiology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908

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 Nathan Shumaker's NPI number?

The NPI number for Nathan Shumaker is 1215145347. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Nathan Shumaker located?

Nathan Shumaker practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2047.

What is Nathan Shumaker's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Cytopathology, with taxonomy code 207ZC0500X.

Is Nathan Shumaker enrolled in Medicare?

Yes. Nathan Shumaker 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.

Is Nathan Shumaker affiliated with any hospitals?

According to CMS data, Nathan Shumaker is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Harris Regional Hospital, Margaret R Pardee Memorial Hospital, The Mcdowell Hospital and Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nathan Shumaker was last updated on February 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.