P Michael Shattuck, MD
NPI 1740273630ActiveIndividual· Emergency Medicine· Berlin, WI
Emergency Medicine (MD) in Berlin, Wisconsin, licensed in WI, with an NPI issued in August 2005. Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1740273630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 25, 2005 |
| Last updated in NPPES | Jul 26, 2023 |
| Certified by provider | Jul 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 25430 | WI |
| Family Medicine | 207Q00000X | 25430-020 | WI |
| Surgery | 208600000X | 25430-020 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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