JAYA PRASAD SHANMUGAM (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1013466598
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
324 ORTHOPEDIC SURGERY in KS
Provider Addresses for JAYA PRASAD SHANMUGAM (MD)
203 Watson St Ste 300
Pratt, KS 671243092
Phone: (620) 672-1002
Fax: (620) 450-1741
Type: Location
200 Hawkins Dr
Department of orthopaedics
Iowa City, IA 522421009
Phone: (319) 356-2223
Fax: (319) 353-6754
Type: Location
1206 W Frontview St Ste 203
Dodge City, KS 678012095
Phone: (620) 225-7744
Fax: (620) 225-5522
Type: Location
200 Commodore St
Pratt, KS 671242903
Phone: (620) 672-7451
Fax: (620) 672-2113
Type: Location
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
DEPARTMENT OF ORTHOPAEDICS
IOWA CITY, IA 522421009
Phone: (319) 356-2223
Fax: (319) 353-6754
Type: Mailing
200 COMMODORE ST
PRATT, KS 671242903
Phone: (319) 512-2693
Type: Mailing
203 WATSON ST STE 300
PRATT, KS 671243092
Phone: (620) 672-1002
Fax: (620) 450-1741
Type: Location
2431 E 61ST ST STE 500
TULSA, OK 741361208
Phone: (918) 582-6800
Type: Mailing
3400 E FRANK PHILLIPS BLVD STE 301
BARTLESVILLE, OK 740062439
Phone: (918) 582-6800
Fax: (918) 582-6060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $3,001.
Total Amount is formed as General ($3,001) + Research ($0) + Ownership ($0) = $3,001.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Shoulder Innovations, Inc. ($1,592).
Total Amount
$3,001
General + Research + Ownership
Payments
14
Total payment records
General Amount
$3,001
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shoulder Innovations, Inc. | $1,592 |
| Smith+Nephew, Inc. | $1,261 |
| Linvatec Corporation | $77 |
| Stryker Corporation | $30 |
| Titan Surgical Group, Llc | $21 |
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: 2024-08-16
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 |
|---|---|---|---|---|
| I20240816000310 | I | Orthopedic Surgery | OK | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 183 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 69 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 45 | 32 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 38 | 30 | $0 |
Insurance plans in this area (ZIP 67124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Physician Assistant | OK | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Sports Medicine, Orthopedic Surgery | OK | |
| Physical Therapist In Private Practice | OK |
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