Theodore Shively, D.O.
NPI 1780666461 · Family Medicine Physician · Novi, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Shively, D.O. is a Family Medicine Physician provider in Novi, MI (NPI 1780666461).
Provider details
- NPI number
- 1780666461
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101007588 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
912 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 213 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 139 | $90 |
| Urinalysis, Manual Test81002 | 126 | $3 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 93 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 82 | $129 |
| Annual Depression Screening, 5 to 15 MinutesG0444 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 93 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 431 | 141 |
| Lisinopril | 245 | 72 |
| Levothyroxine Sodium | 228 | 61 |
| Amlodipine Besylate | 141 | 47 |
| Metoprolol Succinate | 112 | 38 |
| Omeprazole | 98 | 31 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,255 across 69 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2011-12-13
Frequently asked questions
- What is Theodore Shively's NPI number?
- Theodore Shively's National Provider Identifier (NPI) is 1780666461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Shively's specialty?
- Theodore Shively is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Shively located?
- Theodore Shively's practice location on file with NPPES is 39555 W 10 Mile Rd, Novi, MI 48375-2950.
- What is Theodore Shively's phone number?
- The practice phone number listed in the NPPES registry for Theodore Shively is (248) 426-7200.
- Does Theodore Shively accept Medicare?
- Theodore Shively is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Shively's NPI active?
- Yes — Theodore Shively's NPI (1780666461) is active in the NPPES registry as of the last update on 2011-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.