JOHN M SHETLAR DO
NPI 1821053091
Family Medicine in Leavenworth, KS

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
1100 N 4TH ST, LEAVENWORTH, KS 66048(888) 381-4858(913) 297-9628 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2023, Apr 12, 2023, Mar 19, 2023 (3 updates tracked since 2023).

About John M Shetlar Do NPPES

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

JOHN M SHETLAR DO (NPI 1821053091) is an individual family medicine provider in Leavenworth, Kansas, licensed in Kansas (0524233) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1821053091
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN M SHETLARCredential: DO
Location Address1100 N 4TH STLeavenworth, KS 66048-1572
Mailing Address1100 N 4th StLeavenworth, KS 66048-1572 · (888) 381-4858 · Fax (913) 297-9628
Fax(913) 297-9628
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 19, 2006
Last NPPES UpdateAugust 24, 20253 updates tracked since enumeration
NPPES CertifiedAugust 24, 2025
✔ NPI 1821053091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 0524233
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.
1100 N 4TH ST, Leavenworth, KS 66048

Secondary Practice Locations 6

Location 17380 W 52nd Ave Unit 1Arvada, CO 80002-3716 · Phone (303) 463-5941 · Fax (303) 463-5951
Location 24140A Laramie StCheyenne, WY 82001-1969 · Phone (307) 637-2800 · Fax (307) 637-2867
Location 34140 Laramie StCheyenne, WY 82001-1969 · Phone (307) 637-2800 · Fax (307) 637-2867
Location 4110 N 66th StLincoln, NE 68505-2402 · Phone (402) 325-8950
Location 5202 E Nifong BlvdColumbia, MO 65203-3759 · Phone (573) 874-6825
Location 62741 NE McBaine DrLees Summit, MO 64064-7880 · Phone (816) 554-2600

Other Identifiers 1

Medicaid100162320EKS

Accepted 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

John M Shetlar Do 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 ID2668561523
PECOS Enrollment IDI20071130000326, I20230420001868
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 Reassignments

5

Medicare enrollment records show John Shetlar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1100 N 4TH ST
Leavenworth, KS 66048
  • Reassigned Medicare billing, Kansas enrollment
  • 73 clinicians in this Medicare group
Urgent Care
110 N 66TH ST
Lincoln, NE 68505
  • Reassigned Medicare billing, Nebraska enrollment
  • 16 clinicians in this Medicare group
Family Medicine
1219 APPLEWOOD DR STE 105
Papillion, NE 68046
  • Reassigned Medicare billing, Nebraska enrollment
  • 16 clinicians in this Medicare group
Urgent Care
18890 E HAMPDEN AVE
Aurora, CO 80013
  • Reassigned Medicare billing, Colorado enrollment
  • 38 clinicians in this Medicare group
Urgent Care
2030 BLUEGRASS CIR
Cheyenne, WY 82009
  • Reassigned Medicare billing, Wyoming enrollment
  • 27 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.
46 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66048 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 11

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

Family Medicine
1100 N 4TH ST
LEAVENWORTH, KS 66048
Nurse Practitioner (Family)
1100 N 4TH ST
LEAVENWORTH, KS 66048
Family Medicine
1100 N 4TH ST
LEAVENWORTH, KS 66048
Nurse Practitioner (Family)
1100 N 4TH ST
LEAVENWORTH, KS 66048
Nurse Practitioner (Family)
1100 N 4TH ST
LEAVENWORTH, KS 66048
Emergency Medicine
1100 N 4TH ST
LEAVENWORTH, KS 66048
Family Medicine
1100 N 4TH ST
LEAVENWORTH, KS 66048
Nurse Practitioner (Acute Care)
1100 N 4TH ST
LEAVENWORTH, KS 66048

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 John Shetlar's NPI number?

The NPI number for John Shetlar is 1821053091. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is John Shetlar located?

John Shetlar practices at 1100 N 4th St, Leavenworth, KS 66048. The listed phone number is (888) 381-4858.

What is John Shetlar's specialty?

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

Is John Shetlar enrolled in Medicare?

Yes. John Shetlar 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 organizations bill Medicare for John Shetlar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Shetlar reassigns Medicare benefits to 5 organizations: Emergent Care Plus Of Overland Park, LLC (Leavenworth, KS), Nextcare Nebraska Providers LLC (Lincoln, NE), Wright Turn Lane PC (Papillion, NE), Colorado Urgent Care PLLC (Aurora, CO) and College Drive Urgent Care LLC (Cheyenne, WY). Each 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 John Shetlar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Shetlar accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list John Shetlar 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 John Shetlar was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.