DR. SHUSHAN JACOB MD
NPI 1114119542
Surgery - Surgery of the Hand in North Las Vegas, NV

Active since August 09, 2007PECOS Enrolled
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086(702) 791-9000 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2025, Sep 28, 2022, Feb 24, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Shushan Jacob Md NPPES

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

DR. SHUSHAN JACOB MD (NPI 1114119542) is an individual surgery of the hand provider in North Las Vegas, Nevada, licensed in Texas (N7548) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114119542
Entity TypeIndividualFemale
Primary Taxonomy2086S0105X
Provider Legal NameDR. SHUSHAN JACOBCredential: MD
Location Address6900 N PECOS RDNorth Las Vegas, NV 89086-4400
Mailing Address2140 E Southlake Blvd Ste L-605Southlake, TX 76092-6516 · (267) 408-9036
Sole ProprietorYes
Enumeration DateAugust 9, 2007
Last NPPES UpdateFebruary 27, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1114119542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License Licensed in TX · N7548
Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedSurgeryTaxonomy 208600000X · License N7548 (TX)
6900 N PECOS RD, North Las Vegas, NV 89086

Other Identifiers 2

Medicaid286943004TX
Medicaid286943005TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shushan Jacob Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
37 services37 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.
25 services17 patients
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.
25 services20 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89086 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

Reported Quality Measures

Breast Cancer Screening
0%54 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%53 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
77%26 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
4%245 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%78 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%184 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%184 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%244 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 69 patients
1%69 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 79 patients
Patients totalRate: 0% · 79 patients
0%79 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
6900 N PECOS RD
NLV, NV 89086
Pharmacist
6900 N PECOS RD
LAS VEGAS, NV 89086
Social Worker (Clinical)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Nurse Practitioner (Family)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Pharmacy Technician
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Nurse Practitioner (Gerontology)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Physical Therapy Assistant
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086
Registered Nurse (Emergency)
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114119542, enumerated as an "individual" on August 09, 2007.

The provider is located at 6900 N PECOS RD NORTH LAS VEGAS, NV 89086 and the phone number is (702) 791-9000.

Surgery with taxonomy code 2086S0105X and a focus in Surgery of the Hand.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Medicare and. Please consult your insurance carrier or call the provider to verify.