WILLIAM M SHIMP (PA-C) – Surgical Physician Assistant, NPI 1821092511
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for WILLIAM M SHIMP (PA-C)
300 HEALTH PARK BLVD
STE 500
ST AUGUSTINE, FL 32086
Phone: (904) 494-2394
Fax: (904) 400-6676
Type: Location
300 HEALTH PARK BLVD STE 5008
ST AUGUSTINE, FL 320863705
Phone: (904) 494-2394
Fax: (904) 400-6676
Type: Location
1824 KING ST STE 200
JACKSONVILLE, FL 322044736
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Mailing
1824, King Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States
STE 200
JACKSONVILLE, FL 322044735
Phone: (904) 384-3343
Fax: (904) 400-6671
Type: Mailing
4500 San Pablo Rd S
Jacksonville, FL 322241865
Phone: (904) 953-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $2,423.
Total Amount is formed as General ($2,423) + Research ($0) + Ownership ($0) = $2,423.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($933).
Total Amount
$2,423
General + Research + Ownership
Payments
53
Total payment records
General Amount
$2,423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $933 |
| Getinge USA Sales, LLC | $713 |
| Medtronic, Inc. | $368 |
| Edwards Lifesciences Corporation | $318 |
| KCI USA, Inc. | $39 |
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: 2010-11-04
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 |
|---|---|---|---|---|
| I20101104000130 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 29 | 29 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | 27 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 27 | 21 | $0 |
| 35301 | Removal of blood clot and portion of chest, neck, or brain artery | 21 | 21 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 32086)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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