DR. JORDAN TYLER SHIVELY D.O.
NPI 1194170910
Surgery in Las Vegas, NV

Q: What is Jordan Shively's NPI number?

The NPI number for Jordan Shively is 1194170910. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Q: What is Jordan Shively's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Shively was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment

8930 W SUNSET RD STE 300, LAS VEGAS, NV 89148(702) 228-8834 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jordan Tyler Shively D.o. NPPES

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

DR. JORDAN TYLER SHIVELY D.O. (NPI 1194170910) is an individual surgery provider in Las Vegas, Nevada, licensed in Nevada (DO2821) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Mountainview Hospital, and maintains a secondary practice location in Warrensville Heights.

NPPES Registry Identity

NPI1194170910

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JORDAN TYLER SHIVELYCredential: D.O.

Location Address8930 W SUNSET RD STE 300Las Vegas, NV 89148-5013

Mailing Address8930 W Sunset Rd Ste 300Las Vegas, NV 89148-5013 · (702) 228-8834

Phone(702) 228-8834

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 29, 2016

Last NPPES UpdateJuly 1, 2021

NPPES CertifiedJuly 1, 2021

✔ NPI 1194170910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NV · DO2821

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8930 W SUNSET RD STE 300, Las Vegas, NV 89148

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Secondary Practice Location 1

Location 120000 Harvard AveWarrensville Heights, OH 44122-6805 · Phone (216) 491-7464 · Fax (216) 491-7802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Tyler Shively D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698067189

PECOS Enrollment IDI20210929001997

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

89 services89 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

67 services65 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

60 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services28 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

31 services28 patients

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

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290039

Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County

Emergency services Birthing friendly

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290041

Location657 Town Center DriveLas Vegas, NV 89144 · Clark County

Emergency services Birthing friendly

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290046

Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County

Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290053

Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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 20

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

COLTON TY LEE MD

Surgery