DR. RAYMOND PATRICK SHUPAK (DMD, MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1962798462
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
108 MAXILLOFACIAL SURGERY in PA
Provider Addresses for DR. RAYMOND PATRICK SHUPAK (DMD, MD)
3501 TERRACE STREET
SUITE 3189
PITTSBURGH, PA 15261
Phone: (412) 648-9100
Fax: (412) 383-7862
Type: Mailing
1500 SOUTH MAIN STREET JPS HOSPITAL
DEPT OF OMFS
FORT WORTH, TX 76104
Phone: (817) 702-5595
Type: Mailing
3501 Terrace St
Pittsburgh, PA 152132523
Phone: (973) 534-3775
Type: Location
3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261
Phone: (412) 648-9100
Fax: (412) 383-7862
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,056.
Total Amount is formed as General ($1,056) + Research ($0) + Ownership ($0) = $1,056.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($448).
Total Amount
$1,056
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-06-10
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 |
|---|---|---|---|---|
| I20180504000038 | I | Maxillofacial Surgery | PA | TBD |
| I20200610002876 | I | Oral Surgery | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 15261)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | TX | |
| - | TX | |
| Maxillofacial Surgery, Oral Surgery, Plastic And Reconstructive Surgery, Vascular Surgery | TX | |
| Oral Surgery | MI | |
| Oral Surgery | TX | |
| Oral Surgery | TX | |
| Maxillofacial Surgery | TX | |
| Maxillofacial Surgery | TX | |
| - | CA | |
| - | TX |
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