DR. WISSAM M SHAYA M.D.
NPI 1003010349
Family Medicine in Jacksonville, FL

NPI Status: Active since June 12, 2007

Contact Information

4235 SUNBEAM RD
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 322-8555
Fax: (904) 322-8578

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  • Individual
  • Male
  • Years of Experience 21
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About WISSAM SHAYA

Wissam Shaya is a primary care provider established in Jacksonville, Florida and his medical specialization is Family Medicine with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1003010349 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number ME123703 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI1003010349
Provider NameDR. WISSAM M SHAYA M.D.
Location Address4235 SUNBEAM RD JACKSONVILLE, FL 32257
Location Phone(904) 322-8555
Mailing Address2675 WINKLER AVE FL 2 FORT MYERS, FL 33901
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date06-12-2007
Last Update Date08-23-2021
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A primary care provider (PCP) like Wissam Shaya sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Wissam Shaya is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.

Location Map

Mailing Address

2675 WINKLER AVE FL 2
FORT MYERS, FL
ZIP 33901
Phone: (877) 856-3774
Fax: (239) 599-2612

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code207Q00000X
TypeAllopathic & Osteopathic Physicians
License No.ME123703
License StateFL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NY876OTHER (01)FLMEDICARE
015772000MEDICAID (05)FL 

PECOS Enrollment and Medicare Participation Status

Wissam Shaya is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1557388584

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150822015059

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32257 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.24
  • Minimum New Patient Price $58.4
  • Maximum New Patient Price $178.79
  • Average New Patient Copayment $22.56
  • Minimum New Patient Copayment $14.6
  • Maximum New Patient Copayment $44.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.76
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $145.28
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $36.32

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 43

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

  • 41

    Hemoglobin a1c level (HCPCS:83036)

  • 13

    Urinalysis, manual test (HCPCS:81002)

Reviews for DR. WISSAM M SHAYA M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010349
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301038
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 3 + 8 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003010349 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922523166JACKSONVILLE ACCIDENT AND SPORTS INJURY CENTER LLC
Organization
Chiropractor4235 SUNBEAM RD
JACKSONVILLE, FL 32257
(772) 546-9591
1447724273DR. CHRISTOPHER ASSI DC
Individual
Chiropractor4235 SUNBEAM RD
JACKSONVILLE, FL 32257
(904) 864-4977
1891173852SHAYA MEDICAL PC INC
Organization
Internal Medicine4235 SUNBEAM RD
JACKSONVILLE, FL 32257
(904) 322-8555
1750761094DR. ANDREW JERVEY HUNT DO
Individual
Family Medicine4235 SUNBEAM RD
JACKSONVILLE, FL 32257
(904) 322-8555
1174295927MILLENNIUM PHYSICIAN GROUP LLC
Organization
Family Medicine4235 SUNBEAM RD
JACKSONVILLE, FL 32257
(904) 322-8555

Frequently Asked Questions

What is Dr. Wissam Shaya M.D. NPI number?

The NPI number assigned to this healthcare provider is 1003010349, enumerated in the NPI registry as an "individual" on June 12, 2007

Where is the provider located?

The provider is located at 4235 Sunbeam Rd Jacksonville, Fl 32257 and the phone number is (904) 322-8555

What is the provider specialty code?

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

How many years of experience does Dr. Wissam Shaya M.D. have?

The provider has more than 21 years of experience.

What insurance does Dr. Wissam Shaya M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Wissam Shaya M.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Wissam Shaya M.D.?

Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Wissam Shaya M.D.?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Hemoglobin a1c level and Urinalysis, manual test.

How do I update my NPI information?

This NPI record was last updated on June 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.