Active NPI 1003058660 Individual Practitioner Male Practitioner

Dr. Glenn Shi , MD

Orthopaedic Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Shi, MD is a certified Orthopaedic Surgery practicing in Jacksonville, FL. With approximately 17 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2009, Dr. Shi delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Shi is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -3.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

82 Specialists

Practicing in Jacksonville, FL (1597 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

88.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shi (17 Years) 17 Yrs

Jacksonville Specialty Average (20.0 Years) 20.0 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	292	236	$312.00	$88.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$474.00	$108.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$743.00	$163.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	84	$473.00	$123.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	12	$14.54	$0.91
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	37	26	$2232.22	$269.91
28285 Correction of toe joint deformity	27	17	$1374.72	$191.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$192.00	$54.68
27702 Repair of ankle joint with prosthesis	13	13	$10642.00	$968.44
28750 Fusion of great toe	13	13	$4464.00	$571.65
20605 Aspiration and/or injection of medium joint or joint capsule	13	13	$275.00	$53.81
27685 Lengthening or shortening of tendon of leg or ankle	11	11	$2330.55	$232.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	202	$296.00	$89.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$456.00	$112.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	15	$12.95	$1.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	55	$182.00	$55.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$707.00	$164.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$450.00	$125.07
28285 Correction of toe joint deformity	26	20	$1202.44	$231.27
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	25	21	$1801.90	$242.29
27685 Lengthening or shortening of tendon of leg or ankle	16	16	$1940.13	$237.75
28750 Fusion of great toe	14	14	$3966.86	$545.97
28725 Fusion of foot joint	14	14	$4810.82	$751.83
27702 Repair of ankle joint with prosthesis	11	11	$10040.00	$993.06
64455 Injection of anesthetic and/or steroid drug into foot nerve	11	11	$454.00	$49.81
28740 Fusion of foot joint	11	11	$2611.00	$379.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	169	$296.00	$90.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$456.00	$111.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	16	$12.50	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	51	$450.00	$127.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	35	$182.00	$55.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$707.00	$165.85
28285 Correction of toe joint deformity	19	16	$1411.90	$257.68
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	15	11	$2045.40	$250.34
28750 Fusion of great toe	12	12	$3840.63	$585.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	200	$95.73	$91.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	120	26	$12.50	$1.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$135.49	$108.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	64	$139.56	$129.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	49	$58.06	$55.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$198.96	$163.34
28285 Correction of toe joint deformity	17	12	$575.69	$217.61
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	13	11	$547.02	$242.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	160	$82.23	$73.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	21	$15.53	$1.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	77	$121.61	$107.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$181.04	$165.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$127.05	$105.47
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$79.16	$76.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$52.65	$43.34
28285 Correction of toe joint deformity	17	14	$485.28	$234.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$73.82	$73.95
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	15	12	$650.83	$226.32
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$53.66	$54.23
27702 Repair of ankle joint with prosthesis	11	11	$1039.05	$1038.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	226	$85.39	$69.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	142	26	$16.64	$1.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$199.51	$155.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	63	$139.06	$98.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$124.61	$102.69
64772 Incision or removal of spinal nerve	14	12	$809.34	$507.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$49.15	$42.26
29405 Application of short leg cast	12	11	$89.64	$76.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	210	$83.65	$68.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	109	$130.38	$99.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$188.08	$154.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$132.32	$100.42
29405 Application of short leg cast	38	24	$104.24	$77.58
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	33	21	$51.24	$39.10
64772 Incision or removal of spinal nerve	29	27	$646.71	$526.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$57.41	$40.49
28285 Correction of toe joint deformity	19	12	$424.24	$191.97
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	19	13	$425.27	$211.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$158.21	$136.76
28750 Fusion of great toe	12	11	$662.77	$570.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	344	214	$83.18	$67.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$183.83	$154.75
29405 Application of short leg cast	70	46	$87.49	$77.82
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	66	42	$39.56	$38.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	61	$157.15	$135.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$123.31	$99.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	52	$115.30	$100.76
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	32	32	$41.22	$35.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$54.67	$40.75
28285 Correction of toe joint deformity	14	11	$425.28	$207.94
28750 Fusion of great toe	14	14	$667.68	$550.93
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	14	11	$425.56	$221.15

Medical Specialties & State Licenses

CMS Verified: 2020-08-31

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME123448

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Lauren Freed , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003152166

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865

👤

Provider Name / Credentials Updated December 13, 2017

Recorded as GLENN SHI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Orthopaedic Surgery (License #ME123448 in FL)

✅

NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2015

Registered at 4500 SAN PABLO RD, JACKSONVILLE, FL 32224 (Tel: 9049532000)

📍

Updated Business Mailing Address August 18, 2015

Registered at 4500 SAN PABLO RD, JACKSONVILLE, FL 32224 (Tel: 9049532000)

👤

Provider Name / Credentials Updated August 18, 2015

Recorded as GLENN SHI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Orthopaedic Surgery (License #ME123448 in FL)

🟢

Initial NPI Registration & Enumeration March 29, 2009

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: 1003058660

Entity Type:

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

Enumeration Date: March 29, 2009

Last Update: August 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.