Dr. Jaya Prasad Shanmugam
- Gender: Male
- Sole propriator: No
- NPI: 1013466598
Dr. Jaya Prasad Shanmugam
Foot and Ankle Surgeon
He is located at 3400 East Frank Phillips Boulevard Suite 301 in Bartlesville, OK 74006. Can help patients with the following: Baker's Cyst, Hip Replacement, Ingrown Toenail, Plantar Fasciitis, Rotator Cuff Tear, Sprained Ankle. His National Provider Identifier (NPI) number is 1013466598. Appointment can be made via the phone number (918) 582-6800.
Conditions treated
Dr. Jaya Prasad Shanmugam, being an foot and ankle surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Jaya Prasad Shanmugam.
- ACL Tear
- Achilles Tendon Rupture
- Arthritis
- Avascular Necrosis
- Back Pain
- Baker's Cyst
- Bone Spurs
- Broken Bone
- Bunions
- Bursitis
- Carpal Tunnel Syndrome
- Cauda Equina Syndrome
- Cervical Radiculopathy
- Compartment Syndrome
- Cubital Tunnel Syndrome
- Degenerative Disc Disease (DDD)
- Dislocated Ankle
- Dislocated Shoulder
- Elbow Pain
- Frostbite
- Hammer Toe
- Herniated Disc
- Hip Replacement
- Iliotibial Band Syndrome (ITBS)
- Impingement Syndrome
- Ingrown Toenail
- Joint Fluid Extraction
- Knee Pain
- Knee Replacement
- Kyphoplasty
- Kyphosis
- Low Back Pain
- Lumbar Spinal Stenosis
- Meniscus Tear
- Metatarsal Surgery
- Morton's Neuroma
- Osgood-Schlatter Disease
- Osteoarthritis (OA)
- Osteomyelitis
- Patellofemoral Pain Syndrome (PFS)
- Plantar Fasciitis
- Repetitive Motion Disorders (RMDs)
- Rheumatoid Arthritis (RA)
- Rotator Cuff Tear
- Sciatica
- Scoliosis
- Separated Shoulder
- Sesamoiditis
- Spinal Stenosis
- Spondylolisthesis
- Spondylolysis
- Spondylosis
- Sprained Ankle
- Sprained Wrist
- Stress Fracture
- Tennis Elbow
- Trigger Finger
- Whiplash
- Wrist Surgery
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Jaya Prasad Shanmugam as in-network for the following 2026 plans.
Health plans
Blue Cross and Blue Shield of Oklahoma
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 13 plans from Blue Cross and Blue Shield of Oklahoma
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze PPO℠ 202 (5 plan variants) | PPO · Bronze | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Bronze PPO℠ 203 (5 plan variants) | PPO · Expanded Bronze | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Bronze PPO℠ Standard (5 plan variants) | PPO · Expanded Bronze | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Gold PPO℠ 309 (5 plan variants) | PPO · Gold | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Gold PPO℠ 604 (5 plan variants) | PPO · Gold | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Gold PPO℠ Standard (5 plan variants) | PPO · Gold | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Silver PPO℠ 204 (5 plan variants) | PPO · Silver | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Silver PPO℠ 501 (5 plan variants) | PPO · Silver | Blue Advantage PPO | Accepting new patients |
| Blue Advantage Silver PPO℠ Standard (5 plan variants) | PPO · Silver | Blue Advantage PPO | Accepting new patients |
| Blue Preferred Bronze PPO℠ Standard (5 plan variants) | PPO · Expanded Bronze | Blue Preferred PPO | Accepting new patients |
| Blue Preferred Gold PPO℠ Standard (5 plan variants) | PPO · Gold | Blue Preferred PPO | Accepting new patients |
| Blue Preferred Security PPO℠ 200 (5 plan variants) | PPO · Catastrophic | Blue Preferred PPO | Accepting new patients |
| Blue Preferred Silver PPO℠ Standard (5 plan variants) | PPO · Silver | Blue Preferred PPO | Accepting new patients |
CommunityCare
Network data as of Aug 19, 2026, as reported by the insurer.
Show all 12 plans from CommunityCare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Ascension St. John Empower Silver | HMO · Silver | Preffered | Accepting new patients |
| Ascension St. John Empower Silver Standardized | HMO · Silver | Preffered | Accepting new patients |
| CommunityCare Bronze IH223 | HMO · Expanded Bronze | Preffered | Accepting new patients |
| CommunityCare Bronze IH224 | HMO · Expanded Bronze | Preffered | Accepting new patients |
| CommunityCare Catastrophic | HMO · Catastrophic | Preffered | Accepting new patients |
| CommunityCare Expanded Bronze Standardized | HMO · Expanded Bronze | Preffered | Accepting new patients |
| CommunityCare Gold IH221 | HMO · Gold | Preffered | Accepting new patients |
| CommunityCare Gold L21 | HMO · Gold | Preffered | Accepting new patients |
| CommunityCare Gold Standardized | HMO · Gold | Preffered | Accepting new patients |
| CommunityCare Silver L21 | HMO · Silver | Preffered | Accepting new patients |
| CommunityCare Silver SLIH223 | HMO · Silver | Preffered | Accepting new patients |
| CommunityCare Silver Standardized | HMO · Silver | Preffered | Accepting new patients |
Medica
Network data as of Jul 2, 2026, as reported by the insurer.
Show all 18 plans from Medica
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Harmony by Medica Bronze $0 Copay PCP Visits | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Harmony by Medica Bronze Premier | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Harmony by Medica Bronze Premier + Adult Eye Exam | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Harmony by Medica Expanded Bronze Standard | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Harmony by Medica Expanded Bronze Standard + Adult Eye Exam | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Harmony by Medica Gold $0 Copay PCP Visits | PPO · Gold | Preferred | Accepting new patients |
| Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam | PPO · Gold | Preferred | Accepting new patients |
| Harmony by Medica Gold Share | PPO · Gold | Preferred | Accepting new patients |
| Harmony by Medica Gold Share + Adult Eye Exam | PPO · Gold | Preferred | Accepting new patients |
| Harmony by Medica Gold Standard | PPO · Gold | Preferred | Accepting new patients |
| Harmony by Medica Gold Standard + Adult Eye Exam | PPO · Gold | Preferred | Accepting new patients |
| Harmony by Medica Silver $0 Copay PCP Visits | PPO · Silver | Preferred | Accepting new patients |
| Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam | PPO · Silver | Preferred | Accepting new patients |
| Harmony by Medica Silver Share | PPO · Silver | Preferred | Accepting new patients |
| Harmony by Medica Silver Share + Adult Eye Exam | PPO · Silver | Preferred | Accepting new patients |
| Harmony by Medica Silver Standard | PPO · Silver | Preferred | Accepting new patients |
| Harmony by Medica Silver Standard + Adult Eye Exam | PPO · Silver | Preferred | Accepting new patients |
Mending Health
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 6 plans from Mending Health
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) | HMO · Gold | Preferred | Accepting new patients |
| MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) | HMO · Silver | Preferred | Accepting new patients |
| MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) | HMO · Gold | Preferred | Accepting new patients |
| MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential (No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ (Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Jaya Prasad Shanmugam is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Jaya Prasad Shanmugam is enrolled to bill Medicare as a Practitioner - Orthopedic Surgery .
Bills through: Orthopaedic Center Pc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Smith \u0026 Nephew | $1828 |
| Arthrex | $908 |
| Gotham Surgicaltions \u0026 Devices | $20 |
Other
| Travel and Lodging | $2483 |
| Food and Beverage | $274 |
Additional Specialities
- Orthopedic Surgeon
Questions & Answers
Does Dr. Jaya Prasad Shanmugam accept insurance?
Dr. Jaya Prasad Shanmugam is listed in-network for 62 ACA Marketplace (Obamacare/HealthCare.gov) plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health, UnitedHealthcare. See the Marketplace plans section for details.
What conditions does Dr. Jaya Prasad Shanmugam treat?
Dr. Jaya Prasad Shanmugam provides treatment for Baker's Cyst, Hip Replacement, Ingrown Toenail, Plantar Fasciitis, Rotator Cuff Tear, Sprained Ankle. For the full list see this list.
Where can you meet with Dr. Jaya Prasad Shanmugam?
Dr. Jaya Prasad Shanmugam's office is located at 3400 East Frank Phillips Boulevard Suite 301 in Bartlesville, OK 74006.