DR. WISSAM M SHAYA (M.D.) – Family Medicine Physician, NPI 1003010349
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for DR. WISSAM M SHAYA (M.D.)
4235, Sunbeam Road, Goodbys, Jacksonville, Duval County, Florida, 32257, United States
JACKSONVILLE, FL 322576013
Phone: (904) 322-8555
Fax: (904) 322-8578
Type: Mailing
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Fax: (239) 599-2612
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,673.
Total Amount is formed as General ($1,673) + Research ($0) + Ownership ($0) = $1,673.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($221).
Total Amount
$1,673
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $221 |
| Amgen Inc. | $186 |
| Lilly USA, LLC | $182 |
| Inspire Medical Systems, Inc. | $180 |
| ABBVIE INC. | $99 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051028000980 | I | Family Practice | MI | TBD |
| I20150822015059 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 297 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 57 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 113 | 62 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 74 | 74 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 64 | 49 | $0 |
Insurance plans in this area (ZIP 32257)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL |
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