DR. PINAK Y SHUKLA MD
NPI 1225291545
Orthopaedic Surgery in Janesville, WI

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
97.28/100
CMS Quality Rating
3524 E MILWAUKEE ST, JANESVILLE, WI 53546(608) 756-7100 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pinak Y Shukla Md NPPES

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

DR. PINAK Y SHUKLA MD (NPI 1225291545) is an individual orthopaedic surgery provider in Janesville, Wisconsin, licensed in Wisconsin (82217-20) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and maintains a secondary practice location in North Platte.

NPPES Registry Identity

NPI1225291545
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PINAK Y SHUKLACredential: MD
Location Address3524 E MILWAUKEE STJanesville, WI 53546-1626
Mailing Address215 Mcneel LnNorth Platte, NE 69101-6054 · (308) 534-6655 · Fax (308) 534-6662
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 7, 2008
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1225291545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in WI · 82217-20 Licensed in MA · 236966 Licensed in NE · 28171
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3524 E MILWAUKEE ST, Janesville, WI 53546

Secondary Practice Location 1

Location 1215 McNeel LnNorth Platte, NE 69101-6054 · Phone (308) 534-6655 · Fax (308) 534-6662

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 and accepts Medicare assignment

Dr. Pinak Y Shukla 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 ID1850531435
PECOS Enrollment IDI20230926002831
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 7

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
66 services39 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.
57 services44 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.
39 services39 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.
26 services22 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
24 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

97.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.78
Promoting Interoperability98.23
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$41.55 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 20

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

Family Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Orthopaedic Surgery
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Emergency Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Family Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Emergency Medicine
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Ophthalmology
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Dietitian, Registered
3524 E MILWAUKEE ST
JANESVILLE, WI 53546
Orthopaedic Surgery (Hand Surgery)
3524 E MILWAUKEE ST
JANESVILLE, WI 53546

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 Pinak Shukla's NPI number?

The NPI number for Pinak Shukla is 1225291545. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Pinak Shukla located?

Pinak Shukla practices at 3524 E Milwaukee St, Janesville, WI 53546. The listed phone number is (608) 756-7100.

What is Pinak Shukla's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Pinak Shukla enrolled in Medicare?

Yes. Pinak Shukla 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.

What insurance does Pinak Shukla accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare Health Plans and UnitedHealthcare list Pinak Shukla 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 Pinak Shukla affiliated with any hospitals?

According to CMS data, Pinak Shukla is affiliated with Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Pinak Shukla was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.