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JACK F SHAMBLIN III MD
NPI 1831159615
Anesthesiology - Pain Medicine in Martinsburg, WV

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
94 OLD MILL RD, MARTINSBURG, WV 25401(304) 264-8933(304) 264-8846 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack F Shamblin Iii Md NPPES

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

JACK F SHAMBLIN III MD (NPI 1831159615) is an individual pain medicine provider in Martinsburg, West Virginia, licensed in West Virginia (17829) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (1990).

NPPES Registry Identity

NPI1831159615
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameJACK F SHAMBLIN IIICredential: MD
Location Address94 OLD MILL RDMartinsburg, WV 25401-9284
Mailing Address94 Old Mill RdMartinsburg, WV 25401-9284 · (304) 264-8933 · Fax (304) 264-8846
Phone(304) 264-8933
Fax(304) 264-8846
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1990
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 24, 2012
✔ NPI 1831159615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in WV · 17829
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
94 OLD MILL RD, Martinsburg, WV 25401
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN0762922WV
Other050065778WV · Railroad Medicare
Medicare UPINF82052
Medicaid0060852000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Jack F Shamblin Iii 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 ID3173420304
PECOS Enrollment IDI20080416000367
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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
35 services35 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
28 services28 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SATISH KUMAR MENON DO
Anesthesiology (Pain Medicine)
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-8933
CHRISTIAN PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 260-8808
LINDA JONES CRNA
Anesthesiology
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-8933
PAULETTE PICKETT CRNA
Anesthesiology
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-8933
DANILO J GERVACIO MD
Anesthesiology (Pain Medicine)
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-8933
ANDERSON OBSTETRICS & GYNECOLOGY, PLLC
Obstetrics & Gynecology
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (681) 260-2016
PHILLIP NICODEMUS CRNA
Anesthesiology
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-8933
MARILYN FORRESTER CRNA
Anesthesiology
94 OLD MILL RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-8933

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 Jack Shamblin's NPI number?

The NPI number for Jack Shamblin is 1831159615. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Jack Shamblin located?

Jack Shamblin practices at 94 Old Mill Rd, Martinsburg, WV 25401. The listed phone number is (304) 264-8933.

What is Jack Shamblin's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Jack Shamblin enrolled in Medicare?

Yes. Jack Shamblin 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 Jack Shamblin accept?

Health plans from CareSource list Jack Shamblin 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 Jack Shamblin affiliated with any hospitals?

According to CMS data, Jack Shamblin is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Shamblin was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.