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WYATT BOOTHBY-SHOEMAKER MD
NPI 1326781220
Dermatology in Owosso, MI

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
200 HEALTH PARK DR STE 205, OWOSSO, MI 48867(989) 723-8666 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2026, Apr 18, 2022 (2 updates tracked since 2022).

About Wyatt Boothby-shoemaker Md NPPES

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

WYATT BOOTHBY-SHOEMAKER MD (NPI 1326781220) is an individual dermatology provider in Owosso, Michigan, licensed in Michigan (1326781220) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326781220
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameWYATT BOOTHBY-SHOEMAKERCredential: MD
Location Address200 HEALTH PARK DR STE 205Owosso, MI 48867-1291
Mailing Address200 Health Park Dr Ste 205Owosso, MI 48867-1291
Phone(989) 723-8666
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2022
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1326781220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 1326781220
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
200 HEALTH PARK DR STE 205, Owosso, MI 48867
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Wyatt Boothby-shoemaker 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 ID5395127856
PECOS Enrollment IDI20260610003114
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 Wyatt Boothby-shoemaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital
1.0 mi
General Practice
826 W KING ST
Owosso, MI 48867
  • Reassigned Medicare billing, Michigan enrollment
  • 328 clinicians in this Medicare group
NPI 1235160532 (989) 723-5211

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES

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

MEMORIAL HOSPITAL
General Practice
200 HEALTH PARK DR STE 205
OWOSSO, MI 48867
Shiawassee County (989) 723-8666

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 Wyatt Boothby-shoemaker's NPI number?

The NPI number for Wyatt Boothby-shoemaker is 1326781220. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Wyatt Boothby-shoemaker located?

Wyatt Boothby-shoemaker practices at 200 Health Park Dr Ste 205, Owosso, MI 48867. The listed phone number is (989) 723-8666.

What is Wyatt Boothby-shoemaker's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Wyatt Boothby-shoemaker enrolled in Medicare?

Yes. Wyatt Boothby-shoemaker 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 Wyatt Boothby-shoemaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wyatt Boothby-shoemaker reassigns Medicare benefits to Memorial Hospital (Owosso, MI). 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 Wyatt Boothby-shoemaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wyatt Boothby-shoemaker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Wyatt Boothby-shoemaker 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.

When was this NPI record last updated?

The NPPES record for Wyatt Boothby-shoemaker was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.