VICTORIA SHADIACK
NPI 1902291008
Family Medicine in Spartanburg, SC

Q: What is Victoria Shadiack's NPI number?

The NPI number for Victoria Shadiack is 1902291008. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Q: What is Victoria Shadiack'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 Victoria Shadiack was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 06, 2015PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6193(864) 560-1510 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Dec 10, 2020 (2 updates tracked since 2020).

On this page

About Victoria Shadiack NPPES

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

VICTORIA SHADIACK (NPI 1902291008) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (83156) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1902291008

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVICTORIA SHADIACK

Location Address101 E WOOD STSpartanburg, SC 29303-3040

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 560-6193

Fax(864) 560-1510

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2015

Enumeration DateApril 6, 2015

Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1902291008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 83156

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.

101 E WOOD ST, Spartanburg, SC 29303

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Other Identifiers 2

Medicaid831569SC

OtherSCJ2243365SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.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

Victoria Shadiack 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 ID4880006097

PECOS Enrollment IDI20201211002384

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 2

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.

31 services31 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.

29 services25 patients

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

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.

DR. TONDRE BUCK M.D.

Internal Medicine (Hematology & Oncology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7050

ADAM KEITH RAYNES

Nurse Anesthetist, Certified Registered

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6000

RAJAN BHATT

Student in an Organized Health Care Education/Training Program

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6285

NICHOLE TACKETT DO

Surgery

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6285

PATRICIA C. GRIFFIN MD

Radiology (Radiation Oncology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6917

DR. VIKAS DEMBLA M.D.

Internal Medicine (Hematology & Oncology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-7050

DR. ANDREW OMOIT EKATAN M.D.

Internal Medicine

101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6654

STETSON REED BICKLEY M.D.

Radiology (Diagnostic Radiology)

101 E WOOD ST
SPARTANBURG, SC 29303

Spartanburg County (864) 560-6522

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 Victoria Shadiack's NPI number?

The NPI number for Victoria Shadiack is 1902291008. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Victoria Shadiack located?

Victoria Shadiack practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6193.

What is Victoria Shadiack's specialty?

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

Is Victoria Shadiack enrolled in Medicare?

Yes. Victoria Shadiack 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 Victoria Shadiack accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Victoria Shadiack 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 Victoria Shadiack affiliated with any hospitals?

According to CMS data, Victoria Shadiack is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Victoria Shadiack was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.