MICHAEL A. SHUMAKER D.O.
NPI 1285639484
Orthopaedic Surgery in Warren, OH

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
667 EASTLAND AVE SE, ST JOSEPH WARREN HOSPITAL MEDICAL EDUCATION DEPT, WARREN, OH 44484(330) 841-4774 Get Directions Write a Review

NPPES record last updated: January 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael A. Shumaker D.o. NPPES

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

MICHAEL A. SHUMAKER D.O. (NPI 1285639484) is an individual orthopaedic surgery provider in Warren, Ohio, licensed in Ohio (58. 005913) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1285639484
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL A. SHUMAKERCredential: D.O.
Location Address667 EASTLAND AVE SE, ST JOSEPH WARREN HOSPITAL MEDICAL EDUCATION DEPTWarren, OH 44484-4503
Mailing Address667 Eastland Ave SeWarren, OH 44484-4503 · (330) 841-4772
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateJune 15, 2005
Last NPPES UpdateJanuary 17, 2016
NPI 1285639484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 58. 005913
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

667 EASTLAND AVE SE, Warren, OH 44484

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

Michael A. Shumaker D.o. 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 ID9133197502
PECOS Enrollment IDI20210826000716
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 3

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 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.
66 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
21 services15 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44484 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Student in an Organized Health Care Education/Training Program
667 EASTLAND AVE SE
WARREN, OH 44484
Dietitian, Registered
667 EASTLAND AVE SE
WARREN, OH 44484
Dietitian, Registered
667 EASTLAND AVE SE
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE, MEDICAL EDUCATION
WARREN, OH 44484
Emergency Medicine
667 EASTLAND AVE SE
WARREN, OH 44484

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 Michael Shumaker's NPI number?

The NPI number for Michael Shumaker is 1285639484. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Michael Shumaker located?

Michael Shumaker practices at 667 Eastland Ave SE St Joseph Warren Hospital Medical Education Dept, Warren, OH 44484. The listed phone number is (330) 841-4774.

What is Michael Shumaker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Shumaker enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Shumaker accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Michael Shumaker 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 Michael Shumaker affiliated with any hospitals?

According to CMS data, Michael Shumaker is affiliated with St Elizabeth Youngstown Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Michael Shumaker was last updated on January 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.