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DR. J STEPHEN SHYMANSKY MD
NPI 1205832755
Psychiatry & Neurology - Neurology in Pittsburgh, PA

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1 ALPHA DR, PITTSBURGH, PA 15238(412) 466-3111(412) 469-5579 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Nov 4, 2020, Dec 4, 2019 and 1 more (4 updates tracked since 2017).

About Dr. J Stephen Shymansky Md NPPES

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

DR. J STEPHEN SHYMANSKY MD (NPI 1205832755) is an individual neurology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD045418E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of West Virginia University School Of Medicine (1986).

NPPES Registry Identity

NPI1205832755
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. J STEPHEN SHYMANSKYCredential: MD
Location Address1 ALPHA DRPittsburgh, PA 15238-2943
Mailing Address665 Rodi Rd Ste 103Pittsburgh, PA 15235-4566 · (412) 466-3111 · Fax (412) 469-5579
Phone(412) 466-3111
Fax(412) 469-5579
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1986
Enumeration DateJune 21, 2005
Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1205832755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD045418E
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1 ALPHA DR, Pittsburgh, PA 15238
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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

Dr. J Stephen Shymansky 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 ID5991747958
PECOS Enrollment IDI20070813000673
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 3

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.
83 services68 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.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15238 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. DONNA JANET SOTEREANOS DMD
Dentist
1 ALPHA DR, EAST
PITTSBURGH, PA 15238
Allegheny County (412) 435-0008
DAVID MATTHEW MATOR DPT
Physical Therapist
1 ALPHA DR
PITTSBURGH, PA 15238
Allegheny County (724) 212-3727
MR. MICHAEL J TOMETSKO PAC
Physician Assistant (Medical)
1 ALPHA DR
PITTSBURGH, PA 15238
Allegheny County (412) 466-3111

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 J Stephen Shymansky's NPI number?

The NPI number for J Stephen Shymansky is 1205832755. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is J Stephen Shymansky located?

J Stephen Shymansky practices at 1 Alpha Dr, Pittsburgh, PA 15238. The listed phone number is (412) 466-3111.

What is J Stephen Shymansky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is J Stephen Shymansky enrolled in Medicare?

Yes. J Stephen Shymansky 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.

Is J Stephen Shymansky affiliated with any hospitals?

According to CMS data, J Stephen Shymansky is affiliated with Upmc St Margaret, Upmc Passavant, Upmc Presbyterian Shadyside and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for J Stephen Shymansky was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.