NPI Details
DR. Jacob Wayne Shipley, M.D. is a pain medicine pain medicine in Somerset, PA with 17 years of experience. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. DR. Jacob Wayne Shipley, M.D. NPI is 1063643856. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2009
The provider's business location address is:
126 E CHURCH ST STE 2400
SOMERSET, PA
ZIP 15501
Phone: (814) 443-5800
Fax: (814) 443-5499
The NPI 1063643856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
- Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
- Fluoroscopic guidance for needle placement (HCPCS:77002)
- Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
- Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
- Injection of trigger points, 3 or more muscles (HCPCS:20553)
- Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
- Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
- Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
The enumeration date for this NPI number is 7/28/2009 and was last updated on 3/8/2021.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207L00000X | Anesthesiology | | MD450197 | PENNSYLVANIA | No |
| 2 | 207LP2900X | Anesthesiology | Pain Medicine | 35.123054 | OHIO | No |
| 3 | 208VP0000X | Pain Medicine | Pain Medicine | MD450197 | PENNSYLVANIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 000000873681 | OTHER | OHIO | ANTHEM BCBS |
| 2 | 0015083500031 | MEDICAID | PENNSYLVANIA | |
| 3 | CI6140 | OTHER | PENNSYLVANIA | RAILROAD MEDICARE |
| 4 | 710929 | OTHER | PENNSYLVANIA | MEDICARE |
| 5 | 12700751 | OTHER | OHIO | CAQH |
| 6 | 618271100 | OTHER | OHIO | ACS DEPT OF LABOR WC |
| 7 | H318750 | OTHER | OHIO | MEDICARE PTAN |
| 8 | 002533543 | OTHER | PENNSYLVANIA | HIGHMARK BLUE SHIELD |
