Thomas J. Shaknovsky, DO
NPI 1568690014ActiveIndividual· Surgery· Crestview, FL
Listed on the HHS-OIG exclusion list since January 2025 (1128b4). Surgery (DO) in Crestview, Florida, licensed in FL and NJ, with an NPI issued in June 2009. In 2024 Medicare paid $75,650 for 217 patients, and Part D covered 323 of their prescriptions, 88% of them generic. Biotissue Holdings Inc. was the largest of 6 companies reporting payments in 2024, $399.88 in all, mostly food and beverage.
Overview
| NPI | 1568690014 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 23, 2009 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | OS16658 | FL |
| Surgery | 208600000X | 25MA09329900 | NJ |
| Colon & Rectal Surgery | 208C00000X | 16658 | FL |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Thomas Jacob Shaknovsky · General Practice | 1128b4 | Jan 20, 2025 | Destin, FL |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | Listed (NPI) | Excluded · since Jan 20, 2025 · NY |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 217 |
|---|---|
| Services billed | 530 across 66 procedure codes |
| Paid by Medicare | $75,650 |
Part D prescriptions in 2024
| Prescriptions (claims) | 323 · 350 30-day fills |
|---|---|
| Patients | 118 |
| Total drug cost | $7,337 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
- 2024$399.88 · 10 payments from 6 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Biotissue Holdings Inc. | $122.41 | 1 |
| Tela Bio, Inc. | $116.81 | 5 |
| W. L. Gore & Associates, Inc. | $62.59 | 1 |
| Merit Medical Systems Inc | $51.95 | 1 |
| Endogastric Solutions, Inc | $24.84 | 1 |
What the 2024 payments were for
- Food and Beverage$399.88 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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