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Active NPI 1376599746 Individual Practitioner Male Practitioner

Dr. John A Shivdat , DO

Emergency Medicine • Perry, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Shivdat, DO is a certified Emergency Medicine practicing in Perry, GA. With approximately 33 years of clinical experience since graduating from Rowan University School Of Osteopathic Medicine in 1993, Dr. Shivdat delivers high-quality medical care to the local community at 1120 MORNINGSIDE DR.

Dr. Shivdat is affiliated with Middlesex Emergency Physicians, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 Morningside Dr

Perry, GA 310692906

Telephone 4789881706
Fax 4789881794
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Rowan University School Of Osteopathic Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Perry, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs Matches City Avg
City Avg: 33.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Perry, GA (1748 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shivdat (33 Years) 33 Yrs
Perry Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
257 250 $1754.65 $182.98
99291 Critical care, first 30-74 minutes
134 132 $1945.43 $223.41
99284 Emergency department visit with moderate level of medical decision making
94 92 $1218.39 $126.01
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
76 29 $550.76 $120.23
99495 Transitional care management services for problem of at least moderate complexity
18 18 $879.44 $181.04
99283 Emergency department visit with low level of medical decision making
17 17 $787.00 $74.62
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
17 17 $45.00 $16.24
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
15 12 $358.16 $67.50

Medical Specialties & State Licenses

CMS Verified: 2023-03-03
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NJ 25MB06152500

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License GA 47527

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6848109 (NJ)
Commercial Insurance / Payer ID Medicare Railroad
P00630321 (NJ)

Hospital & Practice Group Affiliations

Middlesex Emergency Physicians, P.a.

65 James St, Edison, NJ 088183903

Phone: 7323217000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Glenda Davis , MD

Family Medicine

NPI 1578504791

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2008

Registered at 1120 MORNINGSIDE DR, PERRY, GA 310692906 (Tel: 4789881706)

📍
Updated Business Mailing Address November 25, 2008

Registered at 1074 GRAND OAKS GLN NW, MARIETTA, GA 300645423 (Tel: 7704240901)

👤
Provider Name / Credentials Updated November 25, 2008

Recorded as JOHN SHIVDAT, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2008

Emergency Medicine (License #47527 in GA)

🟢
Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376599746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: March 03, 2023
Sole Proprietor: Yes

Mailing Address

1074 Grand Oaks Gln Nw

Marietta, GA 300645423

Phone: 7704240901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.