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Active NPI 1104927458 Individual Practitioner Male Practitioner

Dr. John Michael Shutack , MD

Neurological Surgery • Chesapeake, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Shutack, MD is a registered healthcare professional specializing in Neurological Surgery in Chesapeake, VA. Practice services are available at 300 MEDICAL PKWY STE 206 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Medical Pkwy Ste 206

Chesapeake, VA 23320

Telephone 7576908990
Fax 7571986944
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Chesapeake, VA (198 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 32 $222.29 $123.47

Medical Specialties & State Licenses

CMS Verified: 2024-06-20
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License VA 0101102740

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License
0101102740 (VA)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Devon Lefever , MD

Neurological Surgery

NPI 1205299310

Doctor of Medicine (M.D.)

Dr. Bernardo Ordonez , MD

Neurological Surgery

NPI 1346284155

Doctor of Medicine (M.D.)

Maria Rowena Capilitan , AGACNP-BC

Nurse Practitioner - Gerontology

NPI 1376153163

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Sheri Yeatts , PA-C

Physician Assistant

NPI 1396974473

Physician Assistant (Certified)

Krystina Loprete , FNP-C

Nurse Practitioner - Family

NPI 1447020607

Family Nurse Practitioner (Certified)

Dr. Mary Cobb , MD

Neurological Surgery

NPI 1730492836

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 25, 2018

Registered at 300 MEDICAL PKWY STE 206, CHESAPEAKE, VA 23320 (Tel: 7576908990)

📍
Updated Business Mailing Address July 25, 2018

Registered at 667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 233204999 (Tel: 7578424481)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Neurological Surgery (License #0101102740 in VA)

NPI Profile Active June 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2013

Registered at 1020 INDEPENDENCE BOULEVARD, SUITE 210, VIRGINIA BEACH, VA 234555542 (Tel: 7574600455)

📍
Updated Business Mailing Address June 10, 2013

Registered at 1020 INDEPENDENCE BOULEVARD, SUITE 210, VIRGINIA BEACH, VA 234555542 (Tel: 7574600455)

👤
Provider Name / Credentials Updated June 10, 2013

Recorded as JOHN SHUTACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2013

Neurological Surgery (License #051386 in GA)

🟢
Initial NPI Registration & Enumeration September 26, 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: 1104927458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: June 20, 2024
Sole Proprietor: No

Mailing Address

667 Kingsborough Sq Ste 101

Chesapeake, VA 233204999

Phone: 7578424481

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.