JACK W SHILLING (MD) – Orthopaedic Surgery Physician, NPI 1992779763

JACK W SHILLING (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD067966L (PA). The NPI Number for JACK W SHILLING (MD) is 1992779763

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JACK W SHILLING (MD)
NPI
1992779763
Phone
(215) 456-7900
Address
5501 Old York Rd Willowcrest Bldg
Enumeration Date
16 February 2006
Last Update Date
4 February 2020

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8569687965
Graduation Year
1994 (32 years ago)
PAC ID
5890703946
Group Practice PAC ID
3274430764
Professional Enrollment ID
I20160210001058
Address ID
NJ081031407CA3XXXXPLZX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,621 ORTHOPEDIC SURGERY in PA

Provider Addresses for JACK W SHILLING (MD)

  • 5501 Old York Rd Willowcrest Bldg

    Albert Einstein Medical Center

    Philadelphia, PA 19141

    Phone: (215) 456-7900

    Type: Location

  • 200, Federal Street, Cooper-Grant, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081031088

    Phone: (856) 356-4924

    Type: Mailing

  • 203, Centennial Boulevard, Voorhees Township, Camden County, New Jersey, 08043, United States

    VOORHEES, NJ 080434637

    Phone: (856) 325-6677

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $733.

Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Stryker Corporation ($361).

Total Amount

$733

General + Research + Ownership

Payments

6

Total payment records

General Amount

$733

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-02-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160210001058IOrthopedic SurgeryNJTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg28022$0
99213Established patient office or other outpatient visit, 20-29 minutes11394$0
73562X-ray of knee, 3 views8658$0
73564X-ray of knee, 4 or more views7549$0
73502X-ray of hip, 2-3 views5040$0
View full utilization report →

Insurance plans in this area (ZIP 19141)

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Provider's Procedures

JACK W SHILLING (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA20610Aspiration and/or injection of large joint or joint capsule7555

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: 3274430764View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Physician AssistantNJ
-NJ
Physician AssistantPA
Plastic And Reconstructive SurgeryMD
Nurse PractitionerNJ
-NJ
Orthopedic SurgeryNJ
-PA
Physician AssistantNJ

Reviews

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Frequently asked questions

What unique ID ties claims to JACK W SHILLING (MD)?
NPI 1992779763 is assigned to JACK W SHILLING (MD) under the national enumeration system.
Is JACK W SHILLING (MD) active in the national directory?
JACK W SHILLING (MD)'s public NPI profile is in an active state.
Does JACK W SHILLING (MD) list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for JACK W SHILLING (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JACK W SHILLING (MD)?
The snapshot lists Philadelphia, Pennsylvania for JACK W SHILLING (MD); download NPPES for the complete set.
How can I contact JACK W SHILLING (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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