DR. JAY H SHUBROOK DO
NPI 1336179704
Family Medicine in Vallejo, CA

Q: What is Jay Shubrook's NPI number?

The NPI number for Jay Shubrook is 1336179704. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Jay Shubrook's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Shubrook was last updated on May 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 03, 2006PECOS Enrolled

365 TUOLUMNE ST, VALLEJO, CA 94590(707) 553-5509(707) 553-5658 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jay H Shubrook Do NPPES

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

DR. JAY H SHUBROOK DO (NPI 1336179704) is an individual family medicine provider in Vallejo, California, licensed in California (20A7399) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336179704

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAY H SHUBROOKCredential: DO

Location Address365 TUOLUMNE STVallejo, CA 94590-5700

Mailing Address365 Tuolumne StVallejo, CA 94590-5700 · (707) 553-5509 · Fax (707) 553-5658

Phone(707) 553-5509

Fax(707) 553-5658

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateMay 15, 2015

✔ NPI 1336179704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · 20A7399✔ Licensed in OH · 34006696S

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

365 TUOLUMNE ST, Vallejo, CA 94590

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Other Identifiers 4

Medicare UPINSH0884131OH

Medicare PIN0884136

Medicaid2120654OH

Medicare UPING98892

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. Jay H Shubrook Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94590 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

4 suppliers18 claims181 services$17.70 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

5 suppliers21 claims560 services$2.33 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

27 suppliers103 claims293 services$5.54 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers24 claims36 services$0.83 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers26 claims26 services$296.27 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

11 suppliers277 claims277 services$189.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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