Active NPI 1376514661 Individual Practitioner Male Practitioner

Dr. Jaykumar H Shah , MD

Internal Medicine • Arcadia, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jaykumar Shah, MD is a certified Internal Medicine practicing in Arcadia, CA. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Shah delivers high-quality medical care to the local community at 623 W DUARTE RD.

Dr. Shah accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

623 W Duarte Rd
# 7

Arcadia, CA 910077330

Telephone 6264464404

Fax 6264460599

Associated Practice Facility / Clinic

🏢 Asclepius Wellness Center Facility NPI 1457441479

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Arcadia, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +16.6 yrs vs City Avg

City Avg: 29.4 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

77 Specialists

Practicing in Arcadia, CA (18502 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

11.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (46 Years) 46 Yrs

Arcadia Specialty Average (29.4 Years) 29.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,461	435	$110.29	$99.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	701	64	$85.16	$81.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	319	319	$150.20	$141.38
G0008 Administration of influenza virus vaccine	239	239	$41.13	$35.02
90662 Influenza vaccine split virus, preservative free	231	231	$89.91	$81.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	157	$149.85	$139.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	146	27	$85.00	$79.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	115	31	$50.00	$46.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	55	$130.26	$123.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	52	$225.97	$180.03
99239 Hospital discharge day management, more than 30 minutes	65	48	$129.85	$120.18
99495 Transitional care management services for problem of at least moderate complexity	55	43	$230.00	$227.07
93000 Routine ekg using at least 12 leads including interpretation and report	51	46	$50.00	$15.71
99306 Initial nursing facility visit, typically 45 minutes per day	29	22	$212.41	$191.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$150.00	$120.78
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	19	$119.20	$113.17
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$210.00	$179.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,507	441	$110.23	$98.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	903	101	$85.75	$83.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	307	307	$150.00	$140.36
G0008 Administration of influenza virus vaccine	255	251	$35.00	$33.42
90662 Influenza vaccine split virus, preservative free	246	243	$74.92	$71.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	210	37	$85.00	$79.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	124	$149.74	$138.76
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	124	38	$50.00	$45.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	74	$128.81	$124.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	107	70	$226.45	$182.39
99239 Hospital discharge day management, more than 30 minutes	101	70	$127.77	$120.60
99495 Transitional care management services for problem of at least moderate complexity	76	62	$231.91	$223.64
93000 Routine ekg using at least 12 leads including interpretation and report	55	53	$50.00	$15.93
99306 Initial nursing facility visit, typically 45 minutes per day	52	36	$212.69	$192.86
82962 Blood glucose (sugar) test performed by hand-held instrument	51	28	$10.00	$3.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$150.00	$122.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$220.48	$178.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	13	$118.57	$112.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,515	448	$109.81	$97.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	797	87	$85.00	$73.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	368	54	$85.00	$71.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	328	328	$150.00	$137.99
G0008 Administration of influenza virus vaccine	260	260	$34.94	$31.73
90662 Influenza vaccine split virus, preservative free	249	249	$69.90	$68.41
82962 Blood glucose (sugar) test performed by hand-held instrument	167	64	$10.00	$3.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	114	41	$50.09	$44.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	67	$119.38	$105.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	76	$220.11	$203.66
99239 Hospital discharge day management, more than 30 minutes	92	73	$119.67	$109.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	72	$167.53	$136.14
99495 Transitional care management services for problem of at least moderate complexity	55	45	$234.91	$219.47
93000 Routine ekg using at least 12 leads including interpretation and report	45	43	$50.00	$15.44
99306 Initial nursing facility visit, typically 45 minutes per day	35	29	$217.71	$169.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$150.31	$120.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	16	$108.82	$94.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$224.67	$176.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,493	429	$107.69	$99.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	975	94	$85.06	$76.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	452	59	$85.00	$74.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	298	298	$155.54	$146.37
82962 Blood glucose (sugar) test performed by hand-held instrument	271	85	$10.00	$3.28
G0008 Administration of influenza virus vaccine	246	246	$25.26	$19.19
90662 Influenza vaccine split virus, preservative free	239	239	$65.28	$65.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	143	83	$119.65	$110.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	80	$220.00	$214.01
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	93	36	$50.65	$46.21
99239 Hospital discharge day management, more than 30 minutes	92	72	$119.89	$113.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	68	$151.19	$141.49
99306 Initial nursing facility visit, typically 45 minutes per day	55	48	$214.55	$179.09
99495 Transitional care management services for problem of at least moderate complexity	54	49	$241.48	$229.21
93000 Routine ekg using at least 12 leads including interpretation and report	52	51	$50.00	$16.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$148.39	$123.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	12	$110.00	$98.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$203.85	$185.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,365	426	$84.95	$81.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,038	78	$85.91	$78.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	569	75	$85.00	$75.80
G0008 Administration of influenza virus vaccine	253	251	$26.03	$18.96
82962 Blood glucose (sugar) test performed by hand-held instrument	241	78	$10.00	$3.26
90662 Influenza vaccine split virus, preservative free	239	237	$63.77	$60.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	232	232	$150.34	$129.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	67	$121.31	$112.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	93	$128.95	$119.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	105	67	$224.05	$218.42
99239 Hospital discharge day management, more than 30 minutes	90	62	$120.33	$116.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	73	26	$50.00	$45.98
93000 Routine ekg using at least 12 leads including interpretation and report	55	51	$50.00	$19.21
99306 Initial nursing facility visit, typically 45 minutes per day	50	38	$218.00	$181.29
99495 Transitional care management services for problem of at least moderate complexity	38	32	$211.32	$202.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$126.76	$119.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$210.77	$183.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	13	$112.31	$99.51
90682 Influenza vaccine, quadrivalent derived from recombinant dna	11	11	$61.82	$60.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,603	426	$85.00	$81.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,069	112	$80.85	$77.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	841	141	$80.59	$74.25
82962 Blood glucose (sugar) test performed by hand-held instrument	359	94	$10.00	$3.21
G0008 Administration of influenza virus vaccine	245	245	$26.82	$18.58
90662 Influenza vaccine split virus, preservative free	235	235	$60.00	$54.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	229	229	$150.17	$127.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	188	77	$120.27	$110.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	101	$222.22	$213.09
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	154	46	$50.13	$45.84
99306 Initial nursing facility visit, typically 45 minutes per day	153	118	$186.93	$177.17
99239 Hospital discharge day management, more than 30 minutes	142	95	$121.06	$114.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	94	$124.95	$118.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	66	54	$115.15	$98.31
93000 Routine ekg using at least 12 leads including interpretation and report	62	60	$50.00	$18.94
99495 Transitional care management services for problem of at least moderate complexity	46	42	$200.00	$180.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$125.93	$118.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$188.75	$179.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,853	459	$85.01	$75.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	867	136	$75.04	$70.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	846	114	$80.00	$73.29
82962 Blood glucose (sugar) test performed by hand-held instrument	496	107	$10.00	$3.21
G0008 Administration of influenza virus vaccine	282	281	$29.31	$23.13
90662 Influenza vaccine split virus, preservative free	274	273	$60.00	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$150.97	$121.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	174	124	$219.61	$204.10
99239 Hospital discharge day management, more than 30 minutes	161	110	$120.00	$109.66
99306 Initial nursing facility visit, typically 45 minutes per day	140	101	$180.71	$169.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	62	$119.92	$104.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	120	43	$50.00	$44.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	96	$119.76	$111.79
93000 Routine ekg using at least 12 leads including interpretation and report	64	60	$50.00	$17.87
99495 Transitional care management services for problem of at least moderate complexity	53	46	$200.00	$171.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	40	$110.43	$93.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$120.00	$112.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$185.00	$167.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,995	460	$84.96	$77.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	792	99	$80.00	$74.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	787	112	$75.00	$72.36
82962 Blood glucose (sugar) test performed by hand-held instrument	576	116	$10.00	$3.15
G0008 Administration of influenza virus vaccine	280	278	$29.98	$28.62
90662 Influenza vaccine split virus, preservative free	225	224	$60.00	$47.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	150	$152.40	$123.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	99	$219.65	$208.93
99239 Hospital discharge day management, more than 30 minutes	121	90	$119.92	$112.23
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	104	32	$50.24	$44.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	54	$119.49	$107.99
99306 Initial nursing facility visit, typically 45 minutes per day	94	68	$181.06	$173.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	78	$119.44	$113.66
93000 Routine ekg using at least 12 leads including interpretation and report	79	73	$50.00	$18.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	53	44	$111.13	$95.62
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	50	50	$30.00	$17.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$120.00	$114.82
99495 Transitional care management services for problem of at least moderate complexity	29	29	$200.00	$174.28
69210 Removal of impacted ear wax	15	14	$62.33	$52.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$105.83	$91.06
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$28.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A42091

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Michele Lefkowitz , MD

Internal Medicine

NPI 1033262407

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 623 W DUARTE RD, # 7, ARCADIA, CA 910077330 (Tel: 6264464404)

📍

Updated Business Mailing Address July 08, 2007

Registered at 623 W DUARTE RD, #7, ARCADIA, CA 910077350 (Tel: 6264464404)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAYKUMAR SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #A42091 in CA)

🟢

Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376514661

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 27, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

623 W Duarte Rd, #7

Arcadia, CA 910077350

Phone: 6264464404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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