JAMES M SHUMAKE D.O.
NPI 1891914826
Emergency Medicine - Emergency Medical Services in Pittsfield, IL

Active since April 25, 2007PECOS Enrolled
97.58/100
CMS Quality Rating
640 W WASHINGTON ST, PITTSFIELD, IL 62363(217) 285-2113 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James M Shumake D.o. NPPES

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

JAMES M SHUMAKE D.O. (NPI 1891914826) is an individual emergency medical services provider in Pittsfield, Illinois, licensed in Illinois (36071380) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Thomas H Boyd Memorial Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1984).

NPPES Registry Identity

NPI1891914826
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJAMES M SHUMAKECredential: D.O.
Location Address640 W WASHINGTON STPittsfield, IL 62363-1350
Mailing Address640 W Washington StPittsfield, IL 62363-1350 · (217) 285-2113
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1984
Enumeration DateApril 25, 2007
Last NPPES UpdateJanuary 14, 2008
NPI 1891914826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in IL · 36071380
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
640 W WASHINGTON ST, Pittsfield, IL 62363

Other Identifiers 1

Medicare UPINC44504IL

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 (PECOS)

James M Shumake D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800834698
PECOS Enrollment IDI20050421001070
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 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
77 services64 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
75 services69 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
45 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Thomas H Boyd Memorial Hospital

Critical Access Hospitals · Carrollton, IL
OwnershipGovernment - Local
CMS Certification Number141300
Location800 School StCarrollton, IL 62016 · Greene County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62363 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Vascular Surgery)
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Emergency Medicine
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Nurse Practitioner
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Dietitian, Registered (Nutrition, Metabolic)
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Nurse Practitioner (Family)
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Pharmacist
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Nurse Anesthetist, Certified Registered
640 W WASHINGTON ST
PITTSFIELD, IL 62363
Pharmacist
640 W WASHINGTON ST
PITTSFIELD, IL 62363

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 James Shumake's NPI number?

The NPI number for James Shumake is 1891914826. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is James Shumake located?

James Shumake practices at 640 W Washington St, Pittsfield, IL 62363. The listed phone number is (217) 285-2113.

What is James Shumake's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is James Shumake enrolled in Medicare?

Yes. James Shumake is registered in the Medicare PECOS enrollment system.

What insurance does James Shumake accept?

Health plans from Medica list James Shumake 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 James Shumake affiliated with any hospitals?

According to CMS data, James Shumake is affiliated with Thomas H Boyd Memorial Hospital, Pana Community Hospital and Franklin General Hospital.

When was this NPI record last updated?

The NPPES record for James Shumake was last updated on January 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.