JAMAL SHILLINGFORD – Orthopaedic Surgery of the Spine Physician, NPI 1063855567
Orthopaedic Surgery of the Spine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for JAMAL SHILLINGFORD
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 272-5063
Type: Mailing
2 BON AIR RD STE 120
LARKSPUR, CA 949391142
Phone: (415) 927-5300
Type: Location
630 W 168th St
New York, NY 100323725
Phone: (212) 305-2862
Type: Location
550 S Jackson St
Louisville, KY 402021622
Phone: (502) 587-7140
Type: Location
210 E Gray St Ste 900
Louisville, KY 40202
Phone: (502) 584-7525
Fax: (502) 584-6851
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $40,164.
Total Amount is formed as General ($40,164) + Research ($0) + Ownership ($0) = $40,164.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Alphatec Spine, Inc ($21,423).
Total Amount
$40,164
General + Research + Ownership
Payments
79
Total payment records
General Amount
$40,164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alphatec Spine, Inc | $21,423 |
| SPINEART USA INC | $8,248 |
| Spineart USA Inc | $6,734 |
| SI-BONE, INC. | $1,340 |
| Providence Medical Technology, Inc. | $900 |
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: 2018-05-16
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 |
|---|---|---|---|---|
| I20180516001497 | I | Orthopedic Surgery | KY | 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 |
|---|---|---|---|---|
| 22614 | Fusion of additional segment of spine | 114 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 55 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 84 | 17 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 55 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| - | KY | |
| Internal Medicine | KY | |
| Orthopedic Surgery | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| N E U R O L O G Y | KY | |
| Orthopedic Surgery | KY | |
| Family Practice | KY |
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