NPPES file of Aug 9, 2026

Jacob Wayne Shipley, M.D.

Pain Medicine Physician · Somerset, PA

Jacob Wayne Shipley, M.D. is a pain medicine physician with a practice address in Somerset, Pennsylvania, and NPI 1063643856, issued on Jul 28, 2009. Check the license (Pennsylvania MD450197, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063643856
Name
Jacob Wayne Shipley
Credential
M.D.
Primary taxonomy
Pain Medicine Physician 208VP0000X
License numbers
MD450197 PA
35.123054 OH
Self-reported in NPPES; status is on the state search
Practice location
126 E Church St Ste 2400, Somerset, PA 15501
Phone
(814) 443-5800
Enumerated
Jul 28, 2009
Record last updated
Mar 8, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(814) 443-5499
Medicaid ID
0015083500031 PA
Medicare enrollment
Enrolled (PECOS I20150713002102); accepts Medicare assignment
Medical or professional school
Ohio State University College Of Medicine, 2009
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 126 E Church St Ste 2400

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Elissa WegleyAcute Care Nurse Practitioner1881203685

Verify Jacob Wayne Shipley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD450197
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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16% more Medicare Part D claims than the average pain medicine physician in 2024

2,424 Medicare Part D claims for 526 beneficiaries, against an average of 2,095 among the 944 providers of this specialty who prescribed in Part D. 549 claims were for opioids.

  1. Jacob Shipley2,424
  2. Specialty average2,095

Most prescribed

  1. Gabapentin511 claims
  2. Celecoxib302 claims
  3. Hydrocodone-Acetaminophen167 claims
  4. Tramadol Hcl164 claims
  5. Pregabalin133 claims
  6. Methocarbamol112 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 87.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score89.3
  2. Costout of 100 · 30%68.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $424.79

7 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 769 providers of this specialty with any payment received $3,397.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jacob Shipley$424.79
  2. Specialty average$3,397.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 4 group practices

  1. Mrs Physical TherapyErie, PA
  2. Phoenix Rehabilitation And Health Services IncCranberry Township, PA
  3. Somerset Health Services IncSomerset, PA
  4. Vantage Physical Therapy And Rehabilitation IncJohnstown, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacob Wayne Shipley among 57 pain medicine physician records in Pennsylvania

Jacob Wayne Shipley, M.D. is one of 57 pain medicine physician records with a practice address in Pennsylvania. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 70% of them.

  • NPI issued2009 · 70% of these records are older, 26% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2009 · median 2003 among the 36 with a school on file
  • Record last updated2021 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pain Medicine Physician providers in Pennsylvania

There are 57 pain medicine physician records in Pennsylvania.

The 8 pain medicine physician records with the nearest ZIP codes

  1. Sudhakar Mannam, MDUniontown, PA 154011386629822
  2. Yeshvant Navalgund, MDGreensburg, PA 156011558354738
  3. Brinda Navalgund, M.D.Greensburg, PA 156011417940065
  4. Thomas Whitten, M.D.Greensburg, PA 156011518056472
  5. Jay Karpen, MDMc Murray, PA 153171386613131
  6. Michael Patterson, MDMc Murray, PA 153171437341633
  7. Justin Birkhimer, PA-CIndiana, PA 157011992677769
  8. Richard Plowey, MDWashington, PA 153011154532612

Common questions

What is Jacob Wayne Shipley, M.D.'s NPI number?

Jacob Wayne Shipley, M.D.'s National Provider Identifier (NPI) is 1063643856, issued on Jul 28, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Jacob Wayne Shipley, M.D. located?

The NPPES record lists a practice address at 126 E Church St Ste 2400, Somerset, PA, 15501. Phone: (814) 443-5800. Providers update this record themselves, so call before visiting.

How can I verify Jacob Wayne Shipley, M.D.'s license?

NPPES lists Pennsylvania license number MD450197, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jacob Wayne Shipley, M.D. prescribe under Medicare Part D?

In 2024, Jacob Wayne Shipley, M.D. had 2,424 Medicare Part D claims for 526 beneficiaries; the average among pain medicine physician prescribers was 2,095. Part D covers Medicare prescriptions only.

What is Jacob Wayne Shipley, M.D.'s MIPS final score?

The 2023 MIPS final score is 87.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.