JAMAL SHILLINGFORD
NPI 1063855567
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Larkspur, CA

Q: What is Jamal Shillingford's NPI number?

The NPI number for Jamal Shillingford is 1063855567. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Q: What is Jamal Shillingford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since April 15, 2013PECOS Enrolled

100/100

CMS Quality Rating

2 BON AIR RD STE 120, LARKSPUR, CA 94939(415) 927-5300 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 20, 2019, Mar 22, 2019, Jul 19, 2018 and 2 more (5 updates tracked since 2018).

On this page

About Jamal Shillingford NPPES

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

JAMAL SHILLINGFORD (NPI 1063855567) is an individual orthopaedic surgery of the spine provider in Larkspur, California, licensed in Kentucky (51177) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063855567

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameJAMAL SHILLINGFORD

Location Address2 BON AIR RD STE 120Larkspur, CA 94939-1142

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5063

Phone(415) 927-5300

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2013

Enumeration DateApril 15, 2013

Last NPPES UpdateAugust 20, 20195 updates tracked since enumeration

✔ NPI 1063855567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in KY · 51177

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2 BON AIR RD STE 120, Larkspur, CA 94939

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Secondary Practice Locations 3

Location 1630 W 168th StNew York, NY 10032-3725 · Phone (212) 305-2862

Location 2550 S Jackson StLouisville, KY 40202-1622 · Phone (502) 587-7140

Location 3210 E Gray St Ste 900Louisville, KY 40202 · Phone (502) 584-7525 · Fax (502) 584-6851

Other Identifiers 1

Medicaid300013826IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamal Shillingford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193089365

PECOS Enrollment IDI20180516001497, I20200309000779

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

Medicare enrollment records show Jamal Shillingford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Phyisicians, Inc.

1,989 mi

Interventional Pain Medicine

5129 DIXIE HWY
Louisville, KY 40216

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: University Of Louisville Physicians Inc
2,337 clinicians in this Medicare group

NPI 1265127567 (502) 588-6000

Community Medical Associates, Inc.

1,991 mi

Family Medicine

720 W HILL ST
Louisville, KY 40208

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1245312503 (502) 636-3164

Joseph Laratta MD Spine Surgeon, LLC

1,993 mi

Orthopaedic Surgery of the Spine

1169 EASTERN PKWY STE 400
Louisville, KY 40217

Reassigned Medicare billing, Kentucky enrollment
2 clinicians in this Medicare group

NPI 1073133054 (502) 413-5777

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 18

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 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.

140 services69 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

139 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

98 services29 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

56 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services30 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

26 services25 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

25 services24 patients

Aspiration of bone marrow for spine bone graft 20939

Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.

20 services18 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

15 services15 patients

Fusion of sacroiliac joint between spine and pelvis with bone graft, open procedure 27280

This procedure involves fusing the sacroiliac joint, which connects the spine to the hip bones, to alleviate pain. An incision is made to access the joint, and a bone graft, or transplanted bone, is used to stimulate fusion. This is an open surgery.

14 services14 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

14 services14 patients

Fusion of spine bones through front of body with partial removal of disc, each additional disc 22585

This procedure involves merging spine bones via the front of the body. A portion of each additional disc is removed to ease pressure and discomfort. This helps to stabilize the spine and improve mobility.

13 services11 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

13 services13 patients

Insertion of instrumentation to pelvic bones 22848

This procedure involves placing medical devices into the pelvic bones. It's done to stabilize the bones, aid in healing, or prepare for further treatment. The process is carried out under anesthesia, ensuring comfort and safety throughout.

13 services13 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

12 services12 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

11 services11 patients

Fusion of spine in neck by posterior approach 22600

Fusion of the spine in the neck by a posterior approach is a surgery to stabilize the neck. It involves connecting two or more vertebrae in the neck from the back side. This can reduce pain and improve stability by limiting movement of the neck.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141327

Location1418 College DriveMount Carmel, IL 62863 · Wabash County

Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849

DME-Other DME · category DE000N

2 suppliers22 claims22 services$40.74 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

1 supplier16 claims16 services$307.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ALEXANDER GREGORY FROST

Physical Therapist

2 BON AIR RD STE 120
LARKSPUR, CA 94939

Marin County (415) 927-5300

MS. ALYSSA BETH THOMPSON-TUCKER FNP

Nurse Practitioner (Family)

2 BON AIR RD STE 120
LARKSPUR, CA 94939

Marin County (415) 925-8200

CONOR BROWN PA-C

Physician Assistant (Surgical)

2 BON AIR RD STE 120
LARKSPUR, CA 94939

Marin County (415) 927-5300

AKASH SHAH MD

Orthopaedic Surgery

2 BON AIR RD STE 120
LARKSPUR, CA 94939

Marin County (415) 925-8200

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 Jamal Shillingford's NPI number?

The NPI number for Jamal Shillingford is 1063855567. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Jamal Shillingford located?

Jamal Shillingford practices at 2 Bon Air Rd Ste 120, Larkspur, CA 94939. The listed phone number is (415) 927-5300.

What is Jamal Shillingford's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Jamal Shillingford enrolled in Medicare?

Yes. Jamal Shillingford is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jamal Shillingford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamal Shillingford reassigns Medicare benefits to 3 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY), Community Medical Associates, Inc. (Louisville, KY) and Joseph Laratta MD Spine Surgeon, LLC (Louisville, KY). 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 Jamal Shillingford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamal Shillingford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jamal Shillingford 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 Jamal Shillingford affiliated with any hospitals?

According to CMS data, Jamal Shillingford is affiliated with Wabash General Hospital 1, Deaconess Hospital Inc, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Jamal Shillingford was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.