Active NPI 1700888617 Individual Practitioner Male Practitioner

Dr. Matthew E Shambaugh , MD

Plastic Surgery • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Shambaugh, MD is a certified Plastic Surgery practicing in Fort Wayne, IN. With approximately 42 years of clinical experience since graduating from Indiana University School Of Medicine in 1984, Dr. Shambaugh delivers high-quality medical care to the local community at 7920 W JEFFERSON BLVD STE 200.

Dr. Shambaugh accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of single growth of skin and/or tissue, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7920 W Jefferson Blvd Ste 200

Fort Wayne, IN 468044166

Telephone 2604907111

Fax 2604902286

Associated Practice Facility / Clinic

🏢 Summit Plastic Surgery, Pc Facility NPI 1194701664

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +11.4 yrs vs City Avg

City Avg: 30.6 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Fort Wayne, IN (84 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shambaugh (42 Years) 42 Yrs

Fort Wayne Specialty Average (30.6 Years) 30.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$99.00	$84.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$99.00	$84.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$99.00	$85.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$99.00	$86.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$72.00	$52.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	26	$72.00	$42.59
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$99.00	$71.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	32	$72.00	$42.19
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$99.00	$69.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	48	$72.00	$39.96
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$99.00	$66.92
11100 Biopsy of single growth of skin and/or tissue	12	12	$196.00	$91.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$154.00	$98.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	36	$72.00	$38.96
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$99.00	$66.46
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$114.00	$67.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$154.00	$97.27

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01038077A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

104366811 (MI)

Medicaid State Provider ID

0852733 (OH)

Medicaid State Provider ID

100372030 (IN)

Commercial Insurance / Payer ID Medicare Railroad

240007527 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Reid Pflueger , DO

Plastic Surgery

NPI 1013201995

Doctor of Osteopathic Medicine (D.O.)

Dr. Guy Crevecoeur , MD

Plastic Surgery

NPI 1124029079

Doctor of Medicine (M.D.)

Dr. Kevin Berning , MD

Plastic Surgery

NPI 1164423620

Doctor of Medicine (M.D.)

Dr. Geoffrey Randolph , MD

Plastic Surgery

NPI 1194726380

Doctor of Medicine (M.D.)

Jennifer Howard , PA

Physician Assistant

NPI 1710998828

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2017

Registered at 7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 468044166 (Tel: 2604907111)

📍

Updated Business Mailing Address April 18, 2017

Registered at 7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 468044166 (Tel: 2604907111)

👤

Provider Name / Credentials Updated April 18, 2017

Recorded as MATTHEW SHAMBAUGH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Plastic Surgery (License #01038077A in IN)

✅

NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2013

Registered at 11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 468451715 (Tel: 2604907111)

📍

Updated Business Mailing Address September 12, 2013

Registered at 11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 468451715 (Tel: 2604907111)

👤

Provider Name / Credentials Updated September 12, 2013

Recorded as MATTHEW SHAMBAUGH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Plastic Surgery (License #01038077A in IN)

🟢

Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700888617

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2005

Last Update: April 18, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7920 W Jefferson Blvd Ste 200

Fort Wayne, IN 468044166

Phone: 2604907111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.