DR. SHIVAPRASAD K SHETTY M.D.
NPI 1235133190
Family Medicine in Morenci, MI

Q: What is Shivaprasad Shetty's NPI number?

The NPI number for Shivaprasad Shetty is 1235133190. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Shivaprasad Shetty's specialty?

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

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment

240 W MAIN ST, MORENCI, MI 49256(517) 458-6848(517) 458-7614 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Shivaprasad K Shetty M.d. NPPES

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

DR. SHIVAPRASAD K SHETTY M.D. (NPI 1235133190) is an individual family medicine provider in Morenci, Michigan, licensed in Michigan (4301062948) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1235133190

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHIVAPRASAD K SHETTYCredential: M.D.

Location Address240 W MAIN STMorenci, MI 49256-1455

Mailing Address240 W Main StMorenci, MI 49256-1455 · (517) 458-6848 · Fax (517) 458-7614

Phone(517) 458-6848

Fax(517) 458-7614

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJune 9, 2005

Last NPPES UpdateFebruary 11, 2014

✔ NPI 1235133190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301062948✔ Licensed in OH · 35068087S

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.

240 W MAIN ST, Morenci, MI 49256

Open in Google Maps ↗

Other Identifiers 6

Medicaid3459792MI

Medicare PINH130890OH

Medicare UPINF98409MI

Medicare PINON82990001MI

Medicaid0152338OH

Medicare PIN4027192OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Shivaprasad K Shetty M.d. 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 ID5991607863

PECOS Enrollment IDI20040123000793, I20040301001237

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 14

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.

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.

364 services174 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.

212 services116 patients

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

135 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services53 patients

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

69 services56 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

50 services50 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

47 services47 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

43 services42 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

22 services19 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

22 services22 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

17 services17 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH

4/5 CMS rating

OwnershipProprietary

CMS Certification Number360270

Location1404 East Second StreetDefiance, OH 43512 · Defiance County

Emergency services

Henry County Hospital, Inc

Critical Access Hospitals · Napoleon, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361309

Location1600 East Riverview AvenueNapoleon, OH 43545 · Henry County

Emergency services

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361333

Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49256 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

17 suppliers48 claims85 services$5.34 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers13 claims23 services$15.39 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers11 claims11 services$15.26 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers23 claims65 services$1.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers106 claims106 services$18.60 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers13 claims13 services$11.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MORENCI MEDICAL ASSOC PC

Family Medicine

240 W MAIN ST
MORENCI, MI 49256

Lenawee County (517) 458-6848

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 Shivaprasad Shetty's NPI number?

The NPI number for Shivaprasad Shetty is 1235133190. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Shivaprasad Shetty located?

Shivaprasad Shetty practices at 240 W Main St, Morenci, MI 49256. The listed phone number is (517) 458-6848.

What is Shivaprasad Shetty's specialty?

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

Is Shivaprasad Shetty enrolled in Medicare?

Yes. Shivaprasad Shetty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shivaprasad Shetty accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 6 other insurers list Shivaprasad Shetty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shivaprasad Shetty affiliated with any hospitals?

According to CMS data, Shivaprasad Shetty is affiliated with Promedica Charles And Virginia Hickman Hospital, Mercy St Vincent Medical Center, Mercy Health - Defiance Hospital, Henry County Hospital, Inc and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Shivaprasad Shetty was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.