DR. JASON MICHAEL SHACKELFORD (M.D.) – Internal Medicine Physician, NPI 1023204534
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,990 INTERNAL MEDICINE in PA
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Provider Addresses for DR. JASON MICHAEL SHACKELFORD (M.D.)
Rydal Square, 500, Old York Road, Jenkintown, Abington, Montgomery County, Pennsylvania, 19046, United States
SUITE 203
JENKINTOWN, PA 190462852
Phone: (215) 886-0174
Fax: (215) 886-9217
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $651.
Total Amount is formed as General ($651) + Research ($0) + Ownership ($0) = $651.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($228).
Total Amount
$651
General + Research + Ownership
Payments
33
Total payment records
General Amount
$651
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $228 |
| ABBVIE INC. | $204 |
| Exact Sciences Corporation | $105 |
| PFIZER INC. | $38 |
| GlaxoSmithKline, LLC. | $28 |
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: 2009-09-16
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090916000346 | I | Internal Medicine | PA | 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 | 322 | 134 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 75 | $0 |
| G0008 | Administration of influenza virus vaccine | 46 | 45 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 40 | 39 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 35 | 25 | $0 |
Insurance plans in this area (ZIP 19046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice, General Surgery, Osteopathic Manipulative Medicine | PA | |
| Internal Medicine, General Practice | PA | |
| Internal Medicine | PA | |
| Orthopedic Surgery | WV | |
| P O D I A T R Y | PA | |
| Orthopedic Surgery | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Physician Assistant | AZ |
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