Active NPI 1396720132 Individual Practitioner Male Practitioner

Dr. Eugene Herman Shively , MD

Surgery • Campbellsville, KY

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Shively, MD is a registered healthcare professional specializing in Surgery in Campbellsville, KY. Practice services are available at 1698 OLD LEBANON RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1698 Old Lebanon Rd
Suite 2a

Campbellsville, KY 427189662

Telephone 2704652821

Fax 2707891756

Associated Practice Facility / Clinic

🏢 Taylor Regional Medical Group, Llc Facility NPI 1326052002

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Campbellsville, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Campbellsville, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	78	$63.00	$24.34
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$95.00	$48.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	12	$83.00	$37.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	345	224	$63.00	$38.45
99213 Established patient office or other outpatient visit, typically 15 minutes	180	136	$95.00	$63.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	130	46	$83.00	$35.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	83	$123.00	$94.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	69	$872.00	$107.80
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$116.00	$65.22
45380 Biopsy of large bowel using an endoscope	36	36	$1196.00	$181.00
45378 Diagnostic exam of large bowel using a flexible endoscope	36	35	$982.00	$173.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$143.00	$95.96
11100 Biopsy of single growth of skin and/or tissue	24	22	$215.00	$92.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	22	$113.00	$66.46
99201 New patient office or other outpatient visit, typically 10 minutes	19	19	$94.00	$39.24
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$179.00	$92.49
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$95.00	$46.74
99238 Hospital discharge day management, 30 minutes or less	15	15	$110.00	$66.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$982.00	$162.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$63.00	$23.20
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$766.00	$89.99
11042 Removal of skin and tissue, 20.0 sq cm or less	12	12	$319.00	$54.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	244	166	$63.00	$36.87
99213 Established patient office or other outpatient visit, typically 15 minutes	156	119	$95.00	$62.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	40	$83.00	$34.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	74	$123.00	$92.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	64	63	$872.00	$95.16
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$116.00	$64.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$143.00	$93.02
45378 Diagnostic exam of large bowel using a flexible endoscope	29	28	$982.00	$164.10
45380 Biopsy of large bowel using an endoscope	28	27	$1196.00	$175.02
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$179.00	$89.01
99218 Hospital observation care typically 30 minutes	21	21	$158.00	$87.69
11100 Biopsy of single growth of skin and/or tissue	18	18	$215.00	$79.73
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	15	$982.00	$156.67
99219 Hospital observation care, typically 50 minutes	15	13	$206.00	$119.39
99238 Hospital discharge day management, 30 minutes or less	14	14	$110.00	$63.34
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3496.00	$302.23

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 15931

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64159312 (KY)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Jessica Browning , APRN

Nurse Practitioner - Family

NPI 1154982262

Advanced Practice Registered Nurse

Ashlyn Rehner , PA

Physician Assistant - Medical

NPI 1215398581

Physician Assistant

Haley Johns

Nurse Practitioner - Family

NPI 1356004337

Dr. Michael Bahr , MD

Surgery

NPI 1396965562

Doctor of Medicine (M.D.)

Dr. James Watkins , MD

Surgery

NPI 1467438945

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 September 20, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2007

Registered at 1698 OLD LEBANON RD, SUITE 2A, CAMPBELLSVILLE, KY 427189662 (Tel: 2704652821)

📍

Updated Business Mailing Address September 20, 2007

Registered at 1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 427189662 (Tel: 2704652821)

👤

Provider Name / Credentials Updated September 20, 2007

Recorded as EUGENE SHIVELY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2007

Surgery (License #15931 in KY)

🟢

Initial NPI Registration & Enumeration December 14, 2005

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: 1396720132

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 14, 2005

Last Update: September 20, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1698 Old Lebanon Rd

Campbellsville, KY 427189662

Phone: 2704652821

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.