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PAUL M SHIPKIN M.D., P.C.
NPI 1013960764
Neurological Surgery in Jenkintown, PA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
101 GREENWOOD AVE STE 450, JENKINTOWN, PA 19046(215) 293-9140(215) 293-9143 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 25, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Paul M Shipkin M.d., P.c. NPPES

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

PAUL M SHIPKIN M.D., P.C. (NPI 1013960764) is an individual neurological surgery provider in Jenkintown, Pennsylvania, licensed in Pennsylvania (MD 014493E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Warminster.

NPPES Registry Identity

NPI1013960764
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePAUL M SHIPKINCredential: M.D., P.C.
Location Address101 GREENWOOD AVE STE 450Jenkintown, PA 19046-2627
Mailing Address101 Greenwood Ave, Ste 450Jenkintown, PA 19046-2627 · (215) 293-9140 · Fax (215) 293-9143
Phone(215) 293-9140
Fax(215) 293-9143
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1971
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1013960764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in PA · MD 014493E
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
101 GREENWOOD AVE STE 450, Jenkintown, PA 19046
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Secondary Practice Location 1

Location 11200 Old York Rd, Suite 210Warminster, PA 18974-2013 · Phone (215) 293-9140 · Fax (215) 293-9143

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul M Shipkin M.d., P.c. 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 ID9638184526
PECOS Enrollment IDI20060214000443
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Shipkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paul M Shipkin M.D., P.C.
9.4 mi
Exclusive Provider Organization
1200 OLD YORK ROAD, SUITE 210
Warminster, PA 18974
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1245669860 (215) 293-9140
University Of Penn-Medical Group
9.9 mi
Psychiatry
3535 MARKET ST, 3RD FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1821486846 (215) 746-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
27 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

LINDA'S CARE, LLC.
In Home Supportive Care
101 GREENWOOD AVE STE 450
JENKINTOWN, PA 19046
Montgomery County (267) 902-1994

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 Paul Shipkin's NPI number?

The NPI number for Paul Shipkin is 1013960764. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Paul Shipkin located?

Paul Shipkin practices at 101 Greenwood Ave Ste 450, Jenkintown, PA 19046. The listed phone number is (215) 293-9140.

What is Paul Shipkin's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Shipkin enrolled in Medicare?

Yes. Paul Shipkin 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.

Which organizations bill Medicare for Paul Shipkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Shipkin reassigns Medicare benefits to 2 organizations: Paul M Shipkin M.D., P.C. (Warminster, PA) and University Of Penn-Medical Group (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Shipkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Shipkin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Shipkin 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 Paul Shipkin affiliated with any hospitals?

According to CMS data, Paul Shipkin is affiliated with Hospital Of Univ Of Pennsylvania and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Paul Shipkin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.