DR. RAYMOND PATRICK SHUPAK (DMD, MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1962798462

DR. RAYMOND PATRICK SHUPAK (DMD, MD) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY, ORAL SURGERY, MAXILLOFACIAL SURGERY. They hold the professional credentials DMD, MD. They hold a License No. DS038719 (PA). The NPI Number for DR. RAYMOND PATRICK SHUPAK (DMD, MD) is 1962798462

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAYMOND PATRICK SHUPAK (DMD, MD)
NPI
1962798462
Phone
(412) 648-9100
Address
3501 TERRACE STREET
Enumeration Date
22 June 2011
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Secondary Phone
8177026936
Graduation Year
2011 (15 years ago)
PAC ID
1759645427
Group Practice PAC ID
2668498387
Professional Enrollment ID
I20200610002876
Address ID
TX761044917FO1500XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:14State licenses:4Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180504000038IMaxillofacial SurgeryPATBD
I20200610002876IOral SurgeryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3926$0
99214Established patient office or other outpatient visit, 30-39 minutes1815$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 15261)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668498387View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryTX
-TX
Maxillofacial Surgery, Oral Surgery, Plastic And Reconstructive Surgery, Vascular SurgeryTX
Oral SurgeryMI
Oral SurgeryTX
Oral SurgeryTX
Maxillofacial SurgeryTX
Maxillofacial SurgeryTX
-CA
-TX

Reviews

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Frequently asked questions

What is the registry number for DR. RAYMOND PATRICK SHUPAK (DMD, MD)?
The registry entry for DR. RAYMOND PATRICK SHUPAK (DMD, MD) shows NPI 1962798462.
Should I treat DR. RAYMOND PATRICK SHUPAK (DMD, MD) as an active provider?
Patients and plans typically see DR. RAYMOND PATRICK SHUPAK (DMD, MD) as active in the national extract.
How should patients interpret DR. RAYMOND PATRICK SHUPAK (DMD, MD)'s specialty?
The extract shows Oral and Maxillofacial Surgery (Dentist) for DR. RAYMOND PATRICK SHUPAK (DMD, MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. RAYMOND PATRICK SHUPAK (DMD, MD)?
DR. RAYMOND PATRICK SHUPAK (DMD, MD) shows a connection to Pittsburgh, Pennsylvania in registry-derived data.
Why is information missing for DR. RAYMOND PATRICK SHUPAK (DMD, MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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