JARED TY SHAHAN (M.D.) – Family Medicine Physician, NPI 1518144773
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for JARED TY SHAHAN (M.D.)
1700 Wildcat Dr Ste B
Portland, TX 783742838
Phone: (361) 704-6368
Fax: (361) 704-6570
Type: Location
PO BOX 60112
CORPUS CHRISTI, TX 784660112
Phone: (361) 884-2904
Fax: (361) 884-1912
Type: Mailing
14254 SPID DR STE 207
CORPUS CHRISTI, TX 784186278
Phone: (361) 589-4068
Fax: (361) 589-4079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: PhotoniCare Inc ($15).
Total Amount
$28
General + Research + Ownership
Payments
2
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PhotoniCare Inc | $15 |
| Fisher & Paykel Healthcare Inc | $13 |
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: 2014-06-27
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 |
|---|---|---|---|---|
| I20140627000598 | I | Family Practice | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,562 | 133 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 279 | 170 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 261 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 172 | 131 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 160 | 42 | $0 |
Insurance plans in this area (ZIP 78374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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