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JAYA PRASAD SHANMUGAM MD
NPI 1013466598
Orthopaedic Surgery - Sports Medicine in Bartlesville, OK

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment
88.73/100
CMS Quality Rating
3400 E FRANK PHILLIPS BLVD STE 301, BARTLESVILLE, OK 74006(918) 582-6800(918) 582-6060 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2024, Apr 6, 2021, Mar 28, 2021 and 1 more (4 updates tracked since 2016).

About Jaya Prasad Shanmugam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYA PRASAD SHANMUGAM MD (NPI 1013466598) is an individual sports medicine provider in Bartlesville, Oklahoma, licensed in Kansas (04-43900) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1013466598
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAYA PRASAD SHANMUGAMCredential: MD
Location Address3400 E FRANK PHILLIPS BLVD STE 301Bartlesville, OK 74006-2439
Mailing Address2431 E 61st St Ste 500Tulsa, OK 74136-1208 · (918) 582-6800
Phone(918) 582-6800
Fax(918) 582-6060
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 26, 2016
Last NPPES UpdateNovember 7, 20244 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1013466598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in KS · 04-43900
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License 310210 (LA)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License R-10460 (IA)
3400 E FRANK PHILLIPS BLVD STE 301, Bartlesville, OK 74006
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Secondary Practice Locations 4

Location 1200 Hawkins Dr, Department of orthopaedicsIowa City, IA 52242-1009 · Phone (319) 356-2223 · Fax (319) 353-6754
Location 2203 Watson St Ste 300Pratt, KS 67124-3092 · Phone (620) 672-1002 · Fax (620) 450-1741
Location 3200 Commodore StPratt, KS 67124-2903 · Phone (620) 672-7451 · Fax (620) 672-2113
Location 41206 W Frontview St Ste 203Dodge City, KS 67801-2095 · Phone (620) 225-7744 · Fax (620) 225-5522

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaya Prasad Shanmugam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446538359
PECOS Enrollment IDI20240816000310
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
367 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
105 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services57 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
75 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services39 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
30 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.71
Promoting Interoperability100
Improvement Activities40
Cost80.74

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOPAEDIC CENTER, PC
Durable Medical Equipment & Medical Supplies
3400 E FRANK PHILLIPS BLVD STE 301
BARTLESVILLE, OK 74006
Washington County (918) 582-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaya Shanmugam's NPI number?

The NPI number for Jaya Shanmugam is 1013466598. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Jaya Shanmugam located?

Jaya Shanmugam practices at 3400 E Frank Phillips Blvd Ste 301, Bartlesville, OK 74006. The listed phone number is (918) 582-6800.

What is Jaya Shanmugam's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jaya Shanmugam enrolled in Medicare?

Yes. Jaya Shanmugam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaya Shanmugam accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Jaya Shanmugam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaya Shanmugam affiliated with any hospitals?

According to CMS data, Jaya Shanmugam is affiliated with Ascension St John Jane Phillips.

When was this NPI record last updated?

The NPPES record for Jaya Shanmugam was last updated on November 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.