JAIME SHOUP (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1023543535
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
330 NEUROLOGY in KY
Provider Addresses for JAIME SHOUP (MD)
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
411 E Chestnut St
Louisville, KY 402021713
Phone: (502) 588-0850
Type: Location
2933 BRECKENRIDGE LN STE 101
LOUISVILLE, KY 402201494
Phone: (502) 588-0736
Fax: (502) 588-0721
Type: Location
500 S PRESTON ST RM 305
LOUISVILLE, KY 402021702
Phone: (502) 852-8696
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,556.
Total Amount is formed as General ($1,556) + Research ($0) + Ownership ($0) = $1,556.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: NEUROPACE, INC. ($1,524).
Total Amount
$1,556
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,556
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NEUROPACE, INC. | $1,524 |
| UCB, Inc. | $17 |
| SK Life Science, Inc. | $15 |
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: 2024-12-13
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 |
|---|---|---|---|---|
| I20240731001547 | I | Neurology | KY | TBD |
| I20241213002458 | I | Neurology | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | KY | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Diagnostic Radiology | IL | |
| Pediatric Medicine | IL | |
| Endocrinology, Internal Medicine, Pediatric Medicine | KY | |
| Nurse Practitioner | IL |
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