KEITH HAYDEN SHAMROCK
NPI 1730717356
Family Medicine in Wauseon, OH

Q: What is Keith Shamrock's NPI number?

The NPI number for Keith Shamrock is 1730717356. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Q: What is Keith Shamrock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Shamrock was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment

78.18/100

CMS Quality Rating

735 S SHOOP AVE, WAUSEON, OH 43567(419) 335-3242(419) 335-3222 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Sep 3, 2024, Aug 17, 2024 and 1 more (4 updates tracked since 2020).

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About Keith Hayden Shamrock NPPES

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

KEITH HAYDEN SHAMROCK (NPI 1730717356) is an individual family medicine provider in Wauseon, Ohio, licensed in Ohio (34.017988) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Fulton County Health Center, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1730717356

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEITH HAYDEN SHAMROCK

Location Address735 S SHOOP AVEWauseon, OH 43567-1735

Mailing Address735 S Shoop AveWauseon, OH 43567-1735 · (419) 335-3242 · Fax (419) 335-3222

Phone(419) 335-3242

Fax(419) 335-3222

Sole ProprietorNo

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2020

Enumeration DateMarch 30, 2020

Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1730717356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.017988

Definition

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.

735 S SHOOP AVE, Wauseon, OH 43567

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Other Identifiers 2

Medicaid119212500FL

Medicaid0151340OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Keith Hayden Shamrock 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 ID2163841297

PECOS Enrollment IDI20250925000683

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 5

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 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.

131 services86 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.

47 services45 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

40 services40 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.

17 services17 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361333

Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 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

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

78.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.54

Promoting Interoperability

100

Improvement Activities

Cost

54.74

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.

JACOB GRIME FNP

Nurse Practitioner (Family)