JOSEPH SHIPMAN PA-C
NPI 1548657059
Physician Assistant - Medical in Royal Oak, MI
Quality Rating: 85.67 out of 100 score
NPI Status: Active since April 22, 2015
Contact Information
3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 898-5000
- Individual
- Male
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About JOSEPH SHIPMAN
This page provides the complete NPI Profile along with additional information for Joseph Shipman, a primary care provider established in Royal Oak, Michigan with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1548657059 assigned on April 2015. The practitioner's primary taxonomy code is 363AM0700X with license number 5601007315 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1548657059
- Provider Name
- JOSEPH SHIPMAN PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3601 W 13 MILE RD ROYAL OAK, MI 48073
- Location Phone
- (248) 898-5000
- Mailing Address
- 26901 BEAUMONT BLVD STE 3D SOUTHFIELD, MI 48033
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2015
- Last Update Date
- 02-28-2025
- Code Navigator
A primary care provider (PCP) like Joseph Shipman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 13604 Pinewood Ln
Belleville, MI 48111
(989) 666-4117
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601007315
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Southeast Michigan Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Joseph Shipman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Advance care planning, first 30 minutes
Critical care, first 30-74 minutes
Established patient office or other outpatient visit, 20-29 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
This service was performed 16 times for 16 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 22 times for 22 patientsThis 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.
This service was performed 14 times for 13 patientsFollow-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.
This service was performed 104 times for 103 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 63 times for 62 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.67, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 85.67 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.08
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 70.15
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 70.15
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for JOSEPH SHIPMAN PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 6 | 5 | 7 | 0 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 12 | 5 | 14 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 2 + 5 + 1 + 4 + 0 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1548657059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467447151 | DR. YVONNE F POSEY MD Individual | Pathology (Chemical Pathology) | 3601 W 13 MILE RD WILLIAM BEAUMONT HOSPITAL, DEPT. OF CLINICAL PATHOLOGY ROYAL OAK, MI 48073 (248) 551-8030 |
| 1811979263 | DR. KATHRYN D WEASE MD Individual | Hospitalist | 3601 W 13 MILE RD ROYAL OAK, MI 48073 (248) 691-8646 |
| 1598749095 | DR. CRAIG T HARTRICK MD Individual | Anesthesiology (Pain Medicine) | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1104802990 | MR. PAMELA SUE GRAY N.P. Individual | Nurse Practitioner (Family) | 3601 W 13 MILE RD ROYAL OAK, MI 48073 (248) 898-4760 |
| 1104805571 | DR. ABDUL A AL SAADI PHD Individual | Medical Genetics, Ph.D. Medical Genetics | 3601 W 13 MILE RD ROYAL OAK, MI 48073 (248) 898-1256 |
| 1154392777 | DR. DOMINIC D MONTEROSSO DO Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1790756310 | DR. SUSAN N IOVAN MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1124090428 | DR. ROMAN MAGIDENKO MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1467425595 | DR. DEANE Y HARIMOTO MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1093788119 | DR. MARK B YESTREPSKY MD Individual | Anesthesiology | 3601 W 13 MILE RD ANETHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1497728414 | DR. GREGORY F SMITH MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1396719670 | DR. DONALD R TATUM MD Individual | Anesthesiology | 3601 W 13 MILE RD ROYAL OAK, MI 48073 (248) 723-1635 |
| 1710951918 | DR. DANIEL L SILVASI MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1841264801 | DR. DOUGLAS M STERNBERG MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1134193261 | DR. JEFFREY P BELLEFLEUR MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1225002116 | DR. JAMES TING MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1346214368 | DR. MICHAEL G MCCUE MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1295709467 | DR. ROBERT F MURRAY III MD Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1821062092 | DR. HARRY G PARR DO Individual | Anesthesiology | 3601 W 13 MILE RD ANESTHESIOLOGY DEPT ROYAL OAK, MI 48073 (248) 723-1635 |
| 1801860945 | DR. PRAXEDIZ A MEZA MD Individual | Anesthesiology | 3601 W 13 MILE RD ROYAL OAK, MI 48073 (248) 723-1635 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548657059, enumerated in the NPI registry as an "individual" on April 22, 2015
The provider is located at 3601 W 13 Mile Rd Royal Oak, Mi 48073 and the phone number is (248) 898-5000
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Advance care planning, first 30 minutes, Critical care, first 30-74 minutes, Established patient office or other outpatient visit, 20-29 minutes, Follow-up hospital inpatient care per day, typically 25 minutes and Follow-up hospital inpatient care per day, typically 35 minutes.
This NPI record was last updated on April 22, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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