DR. JAMES MASON SHIFLETT M.D.
NPI 1366601593
Neurological Surgery in Jackson, MS


Quality Rating: 76.38 out of 100 score

NPI Status: Active since June 03, 2008

Contact Information

2500 NORTH STATE STREET
DEPARTMENT OF NEUROSURGERY
JACKSON, MS
ZIP 39216
Phone: (601) 984-5700
Fax: (601) 984-6986

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  • Individual
  • Male
  • Years of Experience 22
  • Neurological Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About JAMES SHIFLETT

James Shiflett is a provider established in Jackson, Mississippi and his medical specialization is Neurological Surgery with more than 22 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1366601593 assigned on June 2008. The practitioner's primary taxonomy code is 207T00000X with license number 20664 (MS). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1366601593
Provider Name
DR. JAMES MASON SHIFLETT M.D.
Gender
Male
Entity Type
Individual
Location Address
2500 NORTH STATE STREET DEPARTMENT OF NEUROSURGERY JACKSON, MS 39216
Location Phone
(601) 984-5700
Location Fax
(601) 984-6986
Mailing Address
PO BOX 11407 DEPT 2130 UNIVERSITY PHYSICIANS BIRMINGHAM, AL 35246
Mailing Phone
(601) 815-2005
Mailing Fax
(601) 984-6986
Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
06-03-2008
Last Update Date
03-10-2014
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James Shiflett is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.38, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.2 for a new patient copayment and $16.88 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
20664
License State
MS
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

T-1637 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Connected Silver - PPO
    • Connected Silver (QualChoice) - POS
    • Connected Silver (QualChoiceLife) - PPO
    • Connected Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Gold - EPO
    • Elite Gold + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
    • Clear Silver with Walgreens - HMO
    • Clear Silver with Walgreens + Vision + Adult Dental - HMO
    • Complete Gold with Walgreens - HMO
    • Complete Gold with Walgreens + Vision + Adult Dental - HMO
    • Complete Silver with Walgreens - HMO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • Cigna Healthcare

    • Connect Bronze 5500 Enhanced Diabetes Care - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze 9450 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 2500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 0 Indiv Med Deductible - EPO
    • Connect Silver 4000 Enhanced Diabetes Care - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
  • Primewell Health Services of Mississippi

    • Essential Bronze 6500 - POS
    • Essential Gold 1500 - POS
    • Freedom Silver 4000 - POS
    • Savings Bronze 5500 - POS
    • Savings Bronze 7400 - POS
    • Standard Bronze 7500 - POS
    • Standard Gold 1500 - POS
    • Standard Silver 5900 - POS
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
302I149420MEDICARE PIN (08)MS 
295107MEDICAID (05)LA 
00573859MEDICAID (05)MS 
302I147053MEDICARE PIN (08)MS 
156712MEDICAID (05)AL 

PECOS Enrollment and Medicare Participation Status

James Shiflett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183779929

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090901000119

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.83
  • Minimum New Patient Price $53.5
  • Maximum New Patient Price $165.08
  • Average New Patient Copayment $31.2
  • Minimum New Patient Copayment $13.37
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.54
  • Minimum Established Patient Price $16.25
  • Maximum Established Patient Price $134.74
  • Average Established Patient Copayment $16.88
  • Minimum Established Patient Copayment $4.06
  • Maximum Established Patient Copayment $33.68

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 76.38 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 67.96

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 80

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DR. JAMES MASON SHIFLETT M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366601593
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261202518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 2 + 0 + 2 + 5 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1366601593 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578558177 JOE F JACOBS M.D.
Individual
Radiology (Diagnostic Radiology)2500 NORTH STATE STREET
JACKSON, MS 39216
(601) 984-2538
1679564678DR. LAJOS ZSOM MD
Individual
Internal Medicine (Nephrology)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY
JACKSON, MS 39216
(601) 984-5687
1548213226MS. SUSAN PEE MIXON NPC
Individual
Nurse Practitioner (Family)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MED
JACKSON, MS 39216
(601) 815-5670
1184667800DR. JOSEPH SAMUEL MOAK JR. MD
Individual
Internal Medicine2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIV GENERAL INTERNAL MEDICINE
JACKSON, MS 39216
(601) 984-5660
1295762441DR. STANLEY W. CHAPMAN MD
Individual
Internal Medicine (Infectious Disease)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF INFECTIOUS DISEASE
JACKSON, MS 39216
(601) 984-5560
1306873617DR. SUZANNE T. MILLER MD
Individual
Internal Medicine (Pulmonary Disease)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
(601) 984-5650
1063449205DR. GUY DOUGLAS CAMPBELL MD
Individual
Internal Medicine (Pulmonary Disease)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
(601) 984-5650
1215964432DR. HELEN R TURNER MD
Individual
Internal Medicine (Infectious Disease)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF INFECTIOUS DISEASE
JACKSON, MS 39216
(601) 984-5560
1700814829DR. RAJESH BHAGAT MD
Individual
Internal Medicine (Pulmonary Disease)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF PULMONARY
JACKSON, MS 39216
(601) 984-5650
1003840646 CARYL P. SUMRALL FNP
Individual
Internal Medicine2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS 39216
(601) 984-5660
1326072620 BRENDA K SHEPHERD NP
Individual
Internal Medicine2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216
(601) 984-6850
1538189709DR. DANIEL W. JONES MD
Individual
Internal Medicine2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216
(601) 984-6850
1770503864DR. WILLIAM MARK STANTON MD
Individual
Internal Medicine2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS 39216
(601) 984-5660
1871513895DR. WILLIAM CLYDE NICHOLAS MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
(601) 984-5525
1306868575DR. MERVYN P. SMITH JR. MD
Individual
Internal Medicine (Cardiovascular Disease)2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY
JACKSON, MS 39216
(601) 984-5630
1740203769 THOMAS H. MOSLEY JR. PHD
Individual
Psychologist2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
(601) 984-5610
1306850359DR. MARGARET MILLER DAVIS MD
Individual
Internal Medicine2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION
JACKSON, MS 39216
(601) 984-6850
1962416347DR. ABELARDO WEE M.D.
Individual
Psychiatry & Neurology (Neurology)2500 NORTH STATE STREET
JACKSON, MS 39216
(601) 984-5500
1770599110UNIVERSITY NEUROLOGY GROUP, PLLC
Organization
Psychiatry & Neurology (Neurology)2500 NORTH STATE STREET
JACKSON, MS 39216
(601) 984-5500
1831102946DR. JOHN M. PURVIS M.D.
Individual
Orthopaedic Surgery2500 NORTH STATE STREET DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
(601) 984-5139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366601593, enumerated in the NPI registry as an "individual" on June 03, 2008

The provider is located at 2500 North State Street Department Of Neurosurgery Jackson, Ms 39216 and the phone number is (601) 984-5700

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

The provider has more than 22 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2002.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $124.83 with an average copayment of $31.2 for new patient appointments. Established patients should expect a typical charge of $67.54 and an average copayment of 16.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.