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MICHAEL ROBERT SHEMKUS DMD
NPI 1861803967
Dentist - Oral and Maxillofacial Surgery in Quincy, MA

Active since May 13, 2014Opted out of Medicare · through Feb 21, 2028
270 QUINCY AVE, QUINCY, MA 02169(617) 773-9500 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Robert Shemkus Dmd NPPES

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

MICHAEL ROBERT SHEMKUS DMD (NPI 1861803967) is an individual oral and maxillofacial surgery provider in Quincy, Massachusetts, licensed in Massachusetts (DN1858218) and active in the NPI registry since May 2014. He has opted out of Medicare through February 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861803967
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL ROBERT SHEMKUSCredential: DMD
Location Address270 QUINCY AVEQuincy, MA 02169-8127
Mailing Address10 Newhall St # 2Dorchester, MA 02122-2312 · (857) 472-3198
Phone(617) 773-9500
Sole ProprietorNo
Enumeration DateMay 13, 2014
Last NPPES UpdateAugust 29, 2019
✔ NPI 1861803967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DN1858218
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
270 QUINCY AVE, Quincy, MA 02169
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Accepted Insurance

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

ⓘ

Opted out of Medicare

Michael Robert Shemkus Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2020 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2020
Opt-Out In Effect ThroughFebruary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02169 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 4

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

SOUTH SHORE ORAL SURGERY ASSOCIATES CO. INC.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
DR. DAVID PAUL LUSTBADER D.M.D.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC
Clinic/Center (Dental)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500
DR. MICHAEL H GU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
270 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 773-9500

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 Michael Shemkus's NPI number?

The NPI number for Michael Shemkus is 1861803967. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Michael Shemkus located?

Michael Shemkus practices at 270 Quincy Ave, Quincy, MA 02169. The listed phone number is (617) 773-9500.

What is Michael Shemkus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Shemkus enrolled in Medicare?

No. Michael Shemkus has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Shemkus accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Michael Shemkus 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 Michael Shemkus was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.