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DR. GILAD SHAPIRA D.O.
NPI 1225560568
Internal Medicine - Gastroenterology in Opelika, AL

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
77.52/100
CMS Quality Rating
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-6655 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2023, Apr 11, 2022, Mar 28, 2017 (3 updates tracked since 2017).

About Dr. Gilad Shapira D.o. NPPES

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

DR. GILAD SHAPIRA D.O. (NPI 1225560568) is an individual gastroenterology provider in Opelika, Alabama, licensed in Alabama (DO.2028) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2017).

NPPES Registry Identity

NPI1225560568
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GILAD SHAPIRACredential: D.O.
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 528-6655
Phone(334) 528-6655
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1225560568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AL · DO.2028
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2000 PEPPERELL PKWY, Opelika, AL 36801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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. Gilad Shapira D.o. 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 ID2769746007
PECOS Enrollment IDI20231106002004
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.

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.
55 services55 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
38 services37 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.
33 services33 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 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.
20 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.31
Promoting Interoperability100
Improvement Activities40
Cost57.39

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.

TAYLOR DAVID WACHS DO
Internal Medicine (Critical Care Medicine)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
MAXIMILIAN SUNGHO CHOO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DR. CASEY ESTELLE SPEARS PHARMD
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
NGUYEN LAM DO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DAVID ALLEN POWELL CAA
Anesthesiologist Assistant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2499
ARSH PATEL DO
Internal Medicine
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-3035
JAMIE TREHERN RN
Registered Nurse (Obstetric, Inpatient)
2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801
Lee County (334) 528-3710
MACKENZIE WINTER WATERS PHARM.D.
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2474

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 Gilad Shapira's NPI number?

The NPI number for Gilad Shapira is 1225560568. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Gilad Shapira located?

Gilad Shapira practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-6655.

What is Gilad Shapira's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gilad Shapira enrolled in Medicare?

Yes. Gilad Shapira 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 Gilad Shapira accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Gilad Shapira 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 Gilad Shapira was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.