DR. JACOB WAYNE SHIPLEY (M.D.) – Pain Medicine Physician, NPI 1063643856
Pain Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
497 PAIN MANAGEMENT in PA
Provider Addresses for DR. JACOB WAYNE SHIPLEY (M.D.)
126 E CHURCH ST STE 2400
SOMERSET, PA 15501
Phone: (814) 443-5800
Fax: (814) 443-5499
Type: Location
7067 Tiffany Blvd Ste 230
Youngstown, OH 44514
Phone: (330) 758-2748
Fax: (330) 758-3282
Type: Location
329, South Pleasant Avenue, Somerset, Somerset County, Pennsylvania, 15501, United States
SOMERSET, PA 155012262
Phone: (814) 445-3575
Fax: (814) 445-5700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,120.
Total Amount is formed as General ($1,120) + Research ($0) + Ownership ($0) = $1,120.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($1,120).
Total Amount
$1,120
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,120 |
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: 2015-07-13
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 |
|---|---|---|---|---|
| I20150713002102 | I | Pain Management | 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 | 418 | 203 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 417 | 63 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 160 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 117 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 140 | 12 | $0 |
Insurance plans in this area (ZIP 15501)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | PA | |
| Internal Medicine | PA | |
| Family Practice | MD | |
| Physical Medicine And Rehabilitation | WI | |
| Family Practice | PA | |
| - | PA | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery | OH | |
| Family Practice | PA | |
| N E U R O L O G Y | MD |
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