1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Family Medicine
  6. NPI Profile

PHILLIP AUDRA SHRIVER M.D.
NPI 1164564928
Family Medicine in Colorado Springs, CO

Active since February 12, 2007PECOS Enrolled
2880 INTERNATIONAL CIR # N010, COLORADO SPRINGS, CO 80910(719) 520-7080(719) 520-7086 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phillip Audra Shriver M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP AUDRA SHRIVER M.D. (NPI 1164564928) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (42075) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164564928
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILLIP AUDRA SHRIVERCredential: M.D.
Location Address2880 INTERNATIONAL CIR # N010Colorado Springs, CO 80910-3127
Mailing Address340 Printers PkwyColorado Springs, CO 80910-3190 · (719) 632-5700
Phone(719) 520-7080
Fax(719) 520-7086
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 20, 2019
✔ NPI 1164564928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 42075
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2880 INTERNATIONAL CIR # N010, Colorado Springs, CO 80910
Open in Google Maps ↗

Other Identifiers 1

Medicaid35001577CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Audra Shriver M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Shriver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premise Health Of Colorado Medical PC
Same address
Primary Care
2880 INTERNATIONAL CIR
Colorado Springs, CO 80910
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group
NPI 1992940951 (719) 520-7080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN THURSTON N.P.
Nurse Practitioner
2880 INTERNATIONAL CIR # N010
COLORADO SPRINGS, CO 80910
El Paso County (719) 520-7080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Shriver's NPI number?

The NPI number for Phillip Shriver is 1164564928. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Phillip Shriver located?

Phillip Shriver practices at 2880 International Cir # N010, Colorado Springs, CO 80910. The listed phone number is (719) 520-7080.

What is Phillip Shriver's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phillip Shriver enrolled in Medicare?

Yes. Phillip Shriver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phillip Shriver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Shriver reassigns Medicare benefits to Premise Health Of Colorado Medical PC (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Shriver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phillip Shriver was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.