Individual provider Active NPI

Matthew P Shaffer, MD

  • MOHS-Micrographic Surgery Physician
  • Salina, KS
National Provider Identifier
1487620167
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0429936 Issued in KS
Practice address
828 Elmhurst Blvd
Salina, KS 67401-7406
Phone
(785) 827-2500
Fax
(785) 827-2515
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-29936 KS
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X 0429936 KS Primary

Addresses

Primary practice location

828 Elmhurst Blvd
Salina, KS 67401-7406

Mailing address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160
Phone (316) 612-1833

Other practice location 1

2707 Vine St Ste 10
Hays, KS 67601-1986
Phone (785) 628-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000983 KS Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2264404680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Dermatology and Skin Cancer Center, PAGroup PAC ID 1951388289, 31 clinicians

Practice addresses (Care Compare)

828 Elmhurst Blvd
Salina, KS 67401-7406
Phone (785) 827-2500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision214
Removal of skin lesions1926
Removal of skin cancer672
Removal of nail tissue1-10
Removal or shaving of skin growth48
Skin biopsy480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0429936KSMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dermatology and Skin Cancer Center, PA Single Specialty CurrentSince Jul 1, 2004 Accepting new patients
Scott E Manthei PC LTD Single Specialty PastSince Jul 1, 2004 Accepting new patients
Mid-Kansas Dermatology Clinic, PA Single Specialty PastSince Jun 30, 2003 Accepting new patients

Locations

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

155 W College Dr
Ste 1200
Concordia, KS 66901
Phone (785) 827-2500

2300 N 14th Ave
Ste 104
Dodge City, KS 67801
Phone (620) 225-7744

700 W Central Ave
Ste 103
El Dorado, KS 67042
Phone (316) 201-1755

2051 E Mary St
Garden City, KS 67846
Phone (620) 277-9092

1017 Jackson St
Ste C
Great Bend, KS 67530
Phone (620) 792-3666

2707 Vine St
Ste 10
Hays, KS 67601
Phone (785) 628-3231

4201 Anderson Ave
Ste F
Manhattan, KS 66503
Phone (785) 539-4645

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

1000 Hospital Dr
Ste 200
McPherson, KS 67460
Phone (620) 241-7033

1715 Medical Pkwy
Ste D-1
Newton, KS 67114
Phone (316) 612-1833

102 E Holme St
Norton, KS 67654
Phone (785) 628-3231

828 Elmhurst Blvd
Salina, KS 67401
Phone (785) 643-1176

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834

711 Genn Dr
Wamego, KS 66547
Phone (785) 456-2295

1861 N Rock Rd
Ste 310
Wichita, KS 67206
Phone (316) 612-1833

9300 E 29th St N
Ste 310
Wichita, KS 67226
Phone (316) 612-1833

10111 E 21st St N
Ste 305
Wichita, KS 67206
Phone (316) 305-9618

13213 W 21st Ct N
Wichita, KS 67235
Phone (316) 612-1833

9300 E 29th St N
Ste 320
Wichita, KS 67226
Phone (316) 500-3231

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1487620167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017406",
            "telephone_number": "785-827-2500",
            "fax_number": "785-827-2515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Vine St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676011986",
            "country_code": "US",
            "telephone_number": "785-628-3231",
            "fax_number": "785-628-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-29936",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "0429936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.