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DR. JACOB WAYNE SHIPLEY M.D. NPI 1063643856


NPI Information

NPI: 1063643856
Provider Name: DR. JACOB WAYNE SHIPLEY, M.D.
Classification: Pain Medicine - 208VP0000X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
126 E CHURCH ST STE 2400
SOMERSET, PA
ZIP 15501
Phone: (814) 443-5800
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DR. Jacob Wayne Shipley, M.D. is a pain medicine pain medicine in Somerset, PA with 15 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.

  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyMD450197PENNSYLVANIANo
2207LP2900XAnesthesiologyPain Medicine35.123054OHIONo
3208VP0000XPain MedicinePain MedicineMD450197PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000873681OTHEROHIOANTHEM BCBS
20015083500031MEDICAIDPENNSYLVANIA
3CI6140OTHERPENNSYLVANIARAILROAD MEDICARE
4710929OTHERPENNSYLVANIAMEDICARE
512700751OTHEROHIOCAQH
6618271100OTHEROHIOACS DEPT OF LABOR WC
7H318750OTHEROHIOMEDICARE PTAN
8002533543OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.