2026 NPPES data Pediatric Orthopaedic Surgery Physician NPI 1013466598 MD
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JAYA SHANMUGAM, MD

Pediatric Orthopaedic Surgery Physician in BARTLESVILLE, Oklahoma. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
88
Medicare Part D claims · 58 beneficiaries · Pediatric Orthopaedic Surgery Physician avg: 128
MIPS score
88.7389/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$2.9K
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAYA SHANMUGAM, MD reported a CMS MIPS final score of 88.7389/100 — above the 83.1 national average — and filed 88 Medicare Part D claims in 2023.

88.7389/100
MIPS score · +6 vs avg
88
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAYA SHANMUGAM, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JAYA SHANMUGAM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAYA SHANMUGAM, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/26/2016

NPI 1013466598

Primary specialty

Pediatric Orthopaedic Surgery Physician

Niche

613 US NPIs in this specialty

Medicare Part D claims

88 31% vs specialty avg

2023 prescription claims

Specialty avg: 128

MIPS final score

88.7389/100 5.638900000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Pediatric Orthopaedic Surgery Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Pediatric Orthopaedic Surgery Physician share within Oklahoma

1. Pediatric Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Orthopaedic Surgery Physician share within Oklahoma

Medicare quality performance — MIPS

JAYA SHANMUGAM, MD's 2023 MIPS final score plotted against the Pediatric Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
88.7389/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Orthopaedic Surgery Physician) — 88.7389/100 vs national avg 83.1

0%100%National avg83%88.7%
MIPS final score (Pediatric Orthopaedic Surgery Physician) — 88.7389/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAYA SHANMUGAM, MD appears in the CMS NPPES registry as a Pediatric Orthopaedic Surgery Physician provider holding MD credentials at 3400 E FRANK PHILLIPS BLVD STE 301, BARTLESVILLE, OK, 74006, with a listed phone of (918) 582-6800. NPI 1013466598 was issued on 09/26/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHANMUGAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 88 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $521 in drug spend, with an opioid prescribing rate of 21.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.7389/100 for the 2023 performance year (Quality 81.7178, Cost 80.7453), compared with the national average of 83.1.

Pediatric Orthopaedic Surgery Physician is a narrow specialty nationwide, with 613 enrolled providers across 49 states and an average of 128 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3400 E FRANK PHILLIPS BLVD STE 301
BARTLESVILLE, OK 74006

Provider Details

NPI 1013466598
Specialty Pediatric Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 09/26/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.7389
Final Score
Avg: 83.1
81.7178
Quality
80.7453
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAYA SHANMUGAM, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ORTHOPAEDIC CENTER PC
TULSA, OK

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JAYA SHANMUGAM, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

Shoulder Innovations, Inc.

Most common payment type

Travel and Lodging

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

88
Total Claims
$521
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
98
Total Day Supply
2,050
Brand Drug Cost
$0
Generic Drug Cost
$521
Opioid Claims
19 (21.6% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.03
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Meloxicam
51

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Orthopaedic Surgery Physician Overview

How JAYA SHANMUGAM, MD fits within the Pediatric Orthopaedic Surgery Physician landscape nationally.

613
Pediatric Orthopaedic Surgery Physician Providers in US
49
States with Pediatric Orthopaedic Surgery Physician
128
Avg Claims per Provider

JAYA SHANMUGAM, MD's 88 claims are below the specialty average of 128.

Nearby Pediatric Orthopaedic Surgery Physician Providers in Oklahoma

Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as SHANMUGAM.

Compare Pediatric Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAYA SHANMUGAM, MD's specialty?
JAYA SHANMUGAM, MD specializes in Pediatric Orthopaedic Surgery Physician and practices in BARTLESVILLE, Oklahoma. Credentials: MD.
How much does JAYA SHANMUGAM, MD prescribe under Medicare Part D?
In 2023, JAYA SHANMUGAM, MD wrote 88 Medicare Part D claims totaling $521 in drug costs for 58 beneficiaries.
What is JAYA SHANMUGAM, MD's Medicare quality score?
JAYA SHANMUGAM, MD has a CMS MIPS Final Score of 88.7389/100 (Quality: 81.7178, Cost: 80.7453). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAYA SHANMUGAM, MD located?
JAYA SHANMUGAM, MD is located at 3400 E FRANK PHILLIPS BLVD STE 301, BARTLESVILLE, OK, 74006. Phone: (918) 582-6800.
What is JAYA SHANMUGAM, MD's NPI number?
JAYA SHANMUGAM, MD's National Provider Identifier (NPI) is 1013466598, issued on 09/26/2016.
Does JAYA SHANMUGAM, MD prescribe opioids?
Yes, JAYA SHANMUGAM, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 21.6%.
How many Pediatric Orthopaedic Surgery Physician providers are there in the US?
There are 613 Pediatric Orthopaedic Surgery Physician providers across 49 states in the US. The average Pediatric Orthopaedic Surgery Physician provider writes 128 Medicare Part D claims per year.
What drugs does JAYA SHANMUGAM, MD prescribe most often?
Based on 2023 Medicare Part D data, JAYA SHANMUGAM, MD's most frequently prescribed drugs include Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAYA SHANMUGAM, MD accept Medicare?
JAYA SHANMUGAM, MD appears in CMS Medicare data with 88 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAYA SHANMUGAM, MD's credentials?
JAYA SHANMUGAM, MD's NPI is 1013466598 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology