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RENAE SHIBATA MD
NPI 1275065518
Obstetrics & Gynecology in Orlando, FL

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
21 COLUMBIA ST STE 101, ORLANDO, FL 32806(321) 841-6060(321) 841-2442 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 8, 2023, Jun 24, 2021, Mar 28, 2017 (3 updates tracked since 2017).

About Renae Shibata Md NPPES

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

RENAE SHIBATA MD (NPI 1275065518) is an individual obstetrics & gynecology provider in Orlando, Florida, licensed in Florida (ME163067) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Orlando Health South Lake Hospital, and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1275065518
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRENAE SHIBATACredential: MD
Location Address21 COLUMBIA ST STE 101Orlando, FL 32806-1133
Mailing Address21 Columbia St Ste 101Orlando, FL 32806-1133 · (321) 841-6060 · Fax (321) 841-2442
Phone(321) 841-6060
Fax(321) 841-2442
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1275065518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME163067✔ Licensed in NY · 309052-01
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
21 COLUMBIA ST STE 101, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-4429

Other Identifiers 1

Medicaid119187100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Renae Shibata 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 ID244584605
PECOS Enrollment IDI20231108003988
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 Reassignment

Medicare enrollment records show Renae Shibata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Health Medical Group Inc
0.1 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Renae Shibata's NPI number?

The NPI number for Renae Shibata is 1275065518. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Renae Shibata located?

Renae Shibata practices at 21 Columbia St Ste 101, Orlando, FL 32806. The listed phone number is (321) 841-6060.

What is Renae Shibata's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Renae Shibata enrolled in Medicare?

Yes. Renae Shibata 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.

Which organization bills Medicare for Renae Shibata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renae Shibata reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). The 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 Renae Shibata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Renae Shibata accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Renae Shibata 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 Renae Shibata affiliated with any hospitals?

According to CMS data, Renae Shibata is affiliated with Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Renae Shibata was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.