DAVID SHIBATA (MD) – Surgical Oncology Physician, NPI 1700892387
Surgical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
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Provider Addresses for DAVID SHIBATA (MD)
Memphis Post Office, Mill Lane, Memphis, Clark County, Indiana, 47143, United States
DEPT # 457
MEMPHIS, TN 381480457
Phone: (901) 609-3520
Fax: (901) 266-6415
Type: Mailing
1211, Union Avenue, Medical District, Annesdale Park, Memphis, Shelby County, Tennessee, 38104, United States
SUITE 300
MEMPHIS, TN 381046638
Phone: (901) 609-3520
Fax: (901) 266-6415
Type: Location
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 $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($305).
Total Amount
$520
General + Research + Ownership
Payments
16
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $305 |
| Medtronic, Inc. | $81 |
| Tempus AI, Inc | $57 |
| Integra LifeSciences Corporation | $49 |
| Acrotech Biopharma Inc. | $15 |
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: 2015-09-29
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 |
|---|---|---|---|---|
| I20150929001238 | I | General Surgery | TN | 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 | 73 | 51 | $0 |
Insurance plans in this area (ZIP 38148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Vascular Surgery | VA | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Obstetrics/Gynecology, Medical Genetics And Genomics | TN | |
| Nurse Practitioner | TN | |
| General Surgery | FL | |
| Certified Nurse Midwife (Cnm) | TN | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| - | TN | |
| R H E U M A T O L O G Y | TN |
Reviews
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