DR. YAAKOV SHUGARMAN PSY.D.
NPI 1023594017
Psychologist - Clinical in Baltimore, MD

Active since July 13, 2018PECOS EnrolledAccepts Medicare Assignment
84.77/100
CMS Quality Rating
5603 NEWBURY ST, BALTIMORE, MD 21209(410) 999-8060(410) 787-5454 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2020, Jul 29, 2018, Jul 13, 2018 (3 updates tracked since 2018).

About Dr. Yaakov Shugarman Psy.d. NPPES

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

DR. YAAKOV SHUGARMAN PSY.D. (NPI 1023594017) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (06088) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023594017
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. YAAKOV SHUGARMANCredential: PSY.D.
Location Address5603 NEWBURY STBaltimore, MD 21209-3603
Mailing Address5603 Newbury StBaltimore, MD 21209-3603 · (410) 999-8060
Fax(410) 787-5454
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 13, 2018
Last NPPES UpdateJuly 16, 20203 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
✔ NPI 1023594017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 06088
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5603 NEWBURY ST, Baltimore, MD 21209

Accepted 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

Dr. Yaakov Shugarman Psy.d. 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 ID9032526736
PECOS Enrollment IDI20210325000085
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 Yaakov Shugarman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
5603 NEWBURY ST
Baltimore, MD 21209
  • Reassigned Medicare billing, Maryland enrollment
Psychiatry
6501 N CHARLES ST
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sheppard Pratt Physicians PA
  • 187 clinicians in this Medicare group

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.

Psychotherapy for crisis, first hour 90839
Psychotherapy for crisis is a supportive service provided during times of intense distress. In the first hour, the therapist will help you express your feelings, understand the crisis better, and work on immediate coping strategies. This is aimed at reducing stress and promoting emotional well-being.
24 services18 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

Other Providers at the Same Location NPPES 2

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

General Practice
5603 NEWBURY ST
BALTIMORE, MD 21209
Psychologist (Clinical)
5603 NEWBURY ST
BALTIMORE, MD 21209

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 Yaakov Shugarman's NPI number?

The NPI number for Yaakov Shugarman is 1023594017. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Yaakov Shugarman located?

Yaakov Shugarman practices at 5603 Newbury St, Baltimore, MD 21209. The listed phone number is (410) 999-8060.

What is Yaakov Shugarman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Yaakov Shugarman enrolled in Medicare?

Yes. Yaakov Shugarman 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 Yaakov Shugarman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaakov Shugarman reassigns Medicare benefits to 2 organizations: Individualized Psychological Services (Baltimore, MD) and Sheppard Pratt Physicians, P.A. (Baltimore, MD). 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 Yaakov Shugarman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yaakov Shugarman accept?

Health plans from Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Yaakov Shugarman 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.

When was this NPI record last updated?

The NPPES record for Yaakov Shugarman was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.