DR. MICHAEL WILLIAM SHULTZ DO
NPI 1649261868
Family Medicine in Campbell, OH

NPI Status: Active since November 04, 2005

Contact Information

315 STRUTHERS LIBERTY RD
CAMPBELL, OH
ZIP 44405
Phone: (330) 750-1333
Fax: (330) 750-0203

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  • Individual
  • Male
  • Family Medicine
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About MICHAEL SHULTZ

This page provides the complete NPI Profile along with additional information for Michael Shultz, a primary care provider established in Campbell, Ohio with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1649261868 assigned on November 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 34004267S (OH). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1649261868
Provider Name
DR. MICHAEL WILLIAM SHULTZ DO
Gender
Male
Entity Type
Individual
Location Address
315 STRUTHERS LIBERTY RD CAMPBELL, OH 44405
Location Phone
(330) 750-1333
Location Fax
(330) 750-0203
Mailing Address
315 STRUTHERS LIBERTY RD CAMPBELL, OH 44405
Mailing Phone
(330) 750-1333
Mailing Fax
(330) 750-0203
Is Sole Proprietor?
Yes
Enumeration Date
11-04-2005
Last Update Date
12-23-2009
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A primary care provider (PCP) like Michael Shultz sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
34004267S
License State
OH
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000133995OTHER (01)ANTHEM FEP
0102261OTHER (01)UHC OF COLUMBUS
34156320900OTHER (01)UNITED HEALTHCARE CLASS
000000133995OTHER (01)ANTHEM SENIOR ADVANCE
341563209OTHER (01)AETNA CLASS
0599322MEDICARE ID-TYPE UNSPECIFIED (04)OH 
0599322OTHER (01)MEDICARE CLASS
0665169MEDICAID (05)OH 
080011301OTHER (01)RAILROAD MEDICARE
516931OTHER (01)HIGHMARK
60322OTHER (01)QUALCHOICE
516931OTHER (01)SELECT BLUE
0665169OTHER (01)OH WELFARE CLASS
000000133995OTHER (01)ANTHEM CLASS
000000133995OTHER (01)ANTHEM BENEFIT
E00730MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Michael Shultz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 37 times for 27 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 44 times for 30 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 40 times for 23 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 42 times for 29 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44405 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 5% 79
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Pneumococcal Vaccination Status for Older Adults 24% 59
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

Reviews for DR. MICHAEL WILLIAM SHULTZ DO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649261868, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 4 + 6 + 2 + 8 + 1 + 2 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1649261868.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Physician Assistant
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Internal Medicine
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Family Medicine
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Chiropractor
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Podiatrist
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Physical Therapist
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Clinic/Center (Rehabilitation)
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Podiatrist (Primary Podiatric Medicine)
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Nurse Practitioner (Family)
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Durable Medical Equipment & Medical Supplies
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405
Physician Assistant
315 STRUTHERS LIBERTY RD
CAMPBELL, OH 44405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649261868, enumerated as an "individual" on November 04, 2005.

The provider is located at 315 STRUTHERS LIBERTY RD CAMPBELL, OH 44405 and the phone number is (330) 750-1333.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to verify.