MR. JESSE SHAW (DO) – Orthopaedic Surgery Physician, NPI 1396865788
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,466 GENERAL PRACTICE in FL
Provider Addresses for MR. JESSE SHAW (DO)
17779 SW 2ND ST
PEMBROKE PINES, FL 330293924
Phone: (954) 450-0099
Fax: (954) 450-0022
Type: Location
1435 W 49th Pl Ste 402
Hialeah, FL 330123147
Phone: (954) 399-5976
Fax: (954) 322-1099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $10,540.
Total Amount is formed as General ($10,540) + Research ($0) + Ownership ($0) = $10,540.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: NovoSource, LLC ($9,450).
Total Amount
$10,540
General + Research + Ownership
Payments
20
Total payment records
General Amount
$10,540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NovoSource, LLC | $9,450 |
| Zimmer Biomet Holdings, Inc. | $327 |
| ABANZA INC. | $143 |
| Embody, Inc. | $141 |
| Stryker Corporation | $120 |
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: 2007-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20070919000646 | I | General 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 | 262 | 100 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 95 | 45 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 66 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 50 | 50 | $0 |
| 73560 | X-ray of knee, 1-2 views | 19 | 18 | $0 |
Insurance plans in this area (ZIP 33029)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 92 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL |
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