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PROVIDER PROFILE · NPI 1063643856

Jacob ShipleyM.D.

Pain ManagementSomerset, PAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 390039
Hospital
CCN 390110
Hospital
CCN 390145
Hospital
CCN 390164
Hospital
CCN 391302
Hospital
QUALITY · MIPS · 2024
Final MIPS score
82.5
Quality
65.5
Cost
76.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.32%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
2,343
Beneficiaries
—
Total drug cost
$33K
Distinct drugs
23
Brand share
11.9%
Top prescribed drugs
Gabapentin511 claims
Celecoxib302 claims
Hydrocodone/Acetaminophen167 claims
Tramadol Hcl164 claims
Pregabalin133 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,194
Unique beneficiaries
—
Total services
5,965
Distinct HCPCS
19
Medicare payment
$127K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 115 Pain Management providers in PA — top quintile (cohort median 1,330).
REFERRAL NETWORK

Where Jacob Shipley's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SURGERY CENTER OF CANFIELD, LLC56170
Millennium Health, Llc
Clinical Laboratory · San Diego, CA
49201
Steven Sheakoski
Anesthesiology · Youngstown, OH
4772
AMERITOX, LLC1321
Antonio Burnett
Diagnostic Radiology · Kent, OH
1323
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC SOMERSET62376
MERCY HEALTH YOUNGSTOWN LLC60119
Millennium Health, Llc
Clinical Laboratory · San Diego, CA
55183
Priscilla Briguglio
Physician Assistant · Youngstown, OH
5062
SURGERY CENTER OF CANFIELD, LLC4498
AMERITOX, LLC3651
Steven Sheakoski
Anesthesiology · Youngstown, OH
3148
MERCY HEALTH YOUNGSTOWN LLC2970
NPI 19826334592335
Quest Diagnostics Of Pennsylvania, Inc.
Clinical Laboratory · Pittsburgh, PA
1839
Cory Kutlick
Diagnostic Radiology · Kent, OH
1727
WIRTZ, CHRISTINA1730
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$425
Payment records
7
By payment type
Food and Beverage$425