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DR. NATHAN CHARLES SHUMWAY D.P.M.
NPI 1629429451
Podiatrist - Foot & Ankle Surgery in Council Bluffs, IA

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
74.2/100
CMS Quality Rating
320 MCKENZIE AVE STE 102, COUNCIL BLUFFS, IA 51503(712) 328-0297(712) 328-2403 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2019, Jun 22, 2016 (2 updates tracked since 2016).

About Dr. Nathan Charles Shumway D.p.m. NPPES

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

DR. NATHAN CHARLES SHUMWAY D.P.M. (NPI 1629429451) is an individual foot & ankle surgery provider in Council Bluffs, Iowa, licensed in Colorado (PDT-559) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with George C Grape Community Hospital, and maintains a secondary practice location in Kaysville.

NPPES Registry Identity

NPI1629429451
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. NATHAN CHARLES SHUMWAYCredential: D.P.M.
Location Address320 MCKENZIE AVE STE 102Council Bluffs, IA 51503
Mailing Address320 Mckenzie Ave Ste 102Council Bluffs, IA 51503-1002 · (712) 328-0297 · Fax (712) 328-2403
Phone(712) 328-0297
Fax(712) 328-2403
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2016
Enumeration DateJune 22, 2016
Last NPPES UpdateJune 13, 20192 updates tracked since enumeration
✔ NPI 1629429451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CO · PDT-559
320 MCKENZIE AVE STE 102, Council Bluffs, IA 51503
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Secondary Practice Location 1

Location 1278 W Mutton Hollow RdKaysville, UT 84037-1118 · Phone (801) 717-0339

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Nathan Charles Shumway D.p.m. 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 ID3971837477
PECOS Enrollment IDI20190702002325, I20241106001485
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 9

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
373 services231 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.
80 services60 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
71 services45 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
51 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services39 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.
40 services30 patients

Hospital Affiliations CMS Care Compare 4

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

George C Grape Community Hospital

Critical Access Hospitals · Hamburg, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161324
Location2959 Us Highway 275Hamburg, IA 51640 · Fremont County
Emergency services

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Pender Community Hospital

Critical Access Hospitals · Pender, NE
OwnershipGovernment - Local
CMS Certification Number281349
Location100 Hospital Drive, PO Box 100Pender, NE 68047 · Thurston County
Emergency services

Memorial Community Hospital & Health System

Critical Access Hospitals · Blair, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281359
Location810 North 22nd StBlair, NE 68008 · Washington County
Emergency services Birthing friendly

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.

74.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.6
Promoting Interoperability73
Improvement Activities20

Reported Quality Measures

Controlling High Blood Pressure
64%383 patients3/55-star benchmark: 98%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
89%276 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%113 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 335 patients
Patients screened: 91% · 335 patients
100%44 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
66%1,174 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
85%65 patients2/55-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 6

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims2,080 services$0.37 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
2 suppliers19 claims38 services$58.87 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier15 claims86 services$35.32 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims390 services$7.11 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims390 services$3.14 avg. paid by Medicare
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims400 services$1.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shumway's NPI number?

The NPI number for Nathan Shumway is 1629429451. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Nathan Shumway located?

Nathan Shumway practices at 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503. The listed phone number is (712) 328-0297.

What is Nathan Shumway's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nathan Shumway enrolled in Medicare?

Yes. Nathan Shumway 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 Nathan Shumway accept?

Health plans from Oscar Insurance Company list Nathan Shumway 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 Nathan Shumway affiliated with any hospitals?

According to CMS data, Nathan Shumway is affiliated with George C Grape Community Hospital, Clarinda Regional Health Center, Pender Community Hospital and Memorial Community Hospital & Health System.

When was this NPI record last updated?

The NPPES record for Nathan Shumway was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.