SCOTT SHADFAR MD NPI 1710148283

NPI Information

  • NPI: 1710148283
  • Provider Name: SCOTT SHADFAR, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4509 INTEGRIS PKWY STE 350
    EDMOND, OK
    ZIP 73034
  • Phone: (405) 657-3895

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NPI Details

Scott Shadfar, MD is a facial plastic surgery otolaryngology in Edmond, OK with 18 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Scott Shadfar, MD NPI is 1710148283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

4509 INTEGRIS PKWY STE 350
EDMOND, OK
ZIP 73034-696
Phone: (405) 657-3895
Fax: (405) 657-3896

The NPI 1710148283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Creation of skin, fat and muscle graft (HCPCS:15770)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Creation of skin, fat and muscle graft (HCPCS:15770)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of wound by transferring skin, each additional 30.0 sq cm (HCPCS:14302)
  • Repair of wound by transferring skin, each additional 30.0 sq cm (HCPCS:14302)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Repair of nasal passage (HCPCS:30465)
  • Graft of nose cartilage (HCPCS:20912)
  • Harvest of graft from large bone (HCPCS:20902)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Creation of flap graft to head and/or neck (HCPCS:15733)
  • Creation of flap graft to head and/or neck (HCPCS:15733)
  • Creation of flap graft to eyelids, nose, ears, lips, or mouth (HCPCS:15576)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Creation of flap graft to eyelids, nose, ears, lips, or mouth (HCPCS:15576)
  • Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet (HCPCS:15620)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/18/2008 and was last updated on 8/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic Surgery31708OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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