DAVID SHIBATA MD
NPI 1700892387
Surgery - Surgical Oncology in Memphis, TN

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104(901) 609-3520(901) 266-6415 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Shibata Md NPPES

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

DAVID SHIBATA MD (NPI 1700892387) is an individual surgical oncology provider in Memphis, Tennessee, licensed in Tennessee (53326) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1700892387
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDAVID SHIBATACredential: MD
Location Address1211 UNION AVE, SUITE 300Memphis, TN 38104-6638
Mailing AddressPo Box 1000, Dept # 457Memphis, TN 38148-0457 · (901) 609-3520 · Fax (901) 266-6415
Fax(901) 266-6415
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 22, 2015
NPI 1700892387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses Licensed in TN · 53326 Licensed in FL · ME91419
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1211 UNION AVE, Memphis, TN 38104

Other Identifiers 1

MedicaidQ014867TN

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

David 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 ID749249779
PECOS Enrollment IDI20150929001238
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 3

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.

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.
37 services29 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 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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.

Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers11 claims675 services$0.22 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.

Pathology (Anatomic Pathology & Clinical Pathology)
1211 UNION AVE, SUITE 875
MEMPHIS, TN 38104
Clinical Medical Laboratory
1211 UNION AVE, SUITE 300
MEMPHIS, TN 38104
Physical Therapist
1211 UNION AVE, SUITE 195
MEMPHIS, TN 38104
Psychiatry & Neurology (Neurology)
1211 UNION AVE, STE 200
MEMPHIS, TN 38104
Physical Therapist
1211 UNION AVE, SUITE 195
MEMPHIS, TN 38104
Clinical Medical Laboratory
1211 UNION AVE, SUITE 300
MEMPHIS, TN 38104
Physical Therapist
1211 UNION AVE
MEMPHIS, TN 38104
Pathology (Anatomic Pathology)
1211 UNION AVE, SUITE 300
MEMPHIS, TN 38104

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 David Shibata's NPI number?

The NPI number for David Shibata is 1700892387. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is David Shibata located?

David Shibata practices at 1211 Union Ave Suite 300, Memphis, TN 38104. The listed phone number is (901) 609-3520.

What is David Shibata's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is David Shibata enrolled in Medicare?

Yes. David 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.

What insurance does David Shibata accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list David 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 David Shibata affiliated with any hospitals?

According to CMS data, David Shibata is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for David Shibata was last updated on September 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.