1. Home
  2. Directory
  3. Kentucky
  4. Campbellsville
  5. Surgery
  6. NPI Profile

EUGENE HERMAN SHIVELY M.D.
NPI 1396720132
Surgery in Campbellsville, KY

Active since December 14, 2005PECOS Enrolled
1698 OLD LEBANON RD, SUITE 2A, CAMPBELLSVILLE, KY 42718(270) 465-2821(270) 789-1756 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eugene Herman Shively M.d. NPPES

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

EUGENE HERMAN SHIVELY M.D. (NPI 1396720132) is an individual surgery provider in Campbellsville, Kentucky, licensed in Kentucky (15931) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396720132
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEUGENE HERMAN SHIVELYCredential: M.D.
Location Address1698 OLD LEBANON RD, SUITE 2ACampbellsville, KY 42718-9662
Mailing Address1698 Old Lebanon RdCampbellsville, KY 42718-9662 · (270) 465-2821 · Fax (270) 789-1756
Phone(270) 465-2821
Fax(270) 789-1756
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateSeptember 20, 2007
✔ NPI 1396720132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 15931
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.
1698 OLD LEBANON RD, Campbellsville, KY 42718
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0989802KY
Medicaid64159312KY
Medicare UPINC70894

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eugene Herman Shively 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 Reassignments

3

Medicare enrollment records show Eugene Shively reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Taylor Regional Medical Group, LLC
Same address
Surgery
1698 OLD LEBANON RD, SUITE 2A
Campbellsville, KY 42718
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1699030031 (Kentucky)
  • 67 clinicians in this Medicare group
NPI 1326052002 (270) 465-3561
Jane Todd Crawford Memorial Hospital, Inc.
11 mi
Rural Health
310 INDUSTRIAL PARK RD
Greensburg, KY 42743
  • Reassigned Medicare billing, Kentucky enrollment
  • 26 clinicians in this Medicare group
NPI 1144296658 (270) 299-2286
Signify Health, LLC
719 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 42718 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 19

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

DR. MEREDITH ANGEL M.D.
Urology
1698 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-2471
JAMES R ANGEL MD PLLC
Urology
1698 OLD LEBANON RD, SUITE 3B
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-2471
ASHLYN REHNER PA
Physician Assistant (Medical)
1698 OLD LEBANON RD, SUITE 2A
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-2821
TAYLOR REGIONAL MEDICAL GROUP, LLC
Surgery
1698 OLD LEBANON RD, SUITE 2A
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3561
MRS. COURTNEY ANN BRACKETT APRN
Nurse Practitioner (Family)
1698 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0587
HALEY MCCALL JOHNS
Nurse Practitioner (Family)
1698 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-2821
KAREN WOLFE ARNP, CNM
Advanced Practice Midwife
1698 OLD LEBANON RD, SUITE 2B
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3561
JAMES MONROE WATKINS M.D.
Surgery
1698 OLD LEBANON RD, SUITE 2A
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-2821

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 Eugene Shively's NPI number?

The NPI number for Eugene Shively is 1396720132. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Eugene Shively located?

Eugene Shively practices at 1698 Old Lebanon Rd Suite 2A, Campbellsville, KY 42718. The listed phone number is (270) 465-2821.

What is Eugene Shively's specialty?

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

Is Eugene Shively enrolled in Medicare?

Yes. Eugene Shively is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eugene Shively's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eugene Shively reassigns Medicare benefits to 3 organizations: Taylor Regional Medical Group, LLC (Campbellsville, KY), Jane Todd Crawford Memorial Hospital, Inc. (Greensburg, KY) and Signify Health, LLC (Dallas, TX). Each 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 Eugene Shively's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eugene Shively accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Eugene Shively 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.

When was this NPI record last updated?

The NPPES record for Eugene Shively was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.