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Theodore Shively DO in Novi, Michigan

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Theodore Shively DO has Family Practice as his primary medical specialty. Their primary office is: 39555 W 10 Mile Rd in Novi, Michigan. There is an additional office location, for a total of two, for Theodore Shively DO that can be viewed further down.

They're a part of the: Primecare Of Novi Pllc medical group which has around 6 members. You can call their office at 248-8426 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Philadelphia College Of Osteopathic Medicine and graduated in 1978 (around 46 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Theodore W Shively DO Office Phone and Directions

Theodore Shively DO
Primecare Of Novi Pllc
39555 W 10 Mile Rd
Novi, Michigan 48375
248-8426


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Phone: 248-8426


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Healthcare Info for Theodore Shively DO

Medical School: Philadelphia College Of Osteopathic Medicine
Graduation Year: 1978
The Primary Medical Specialty for Theodore Shively DO is listed as: Family Practice
Credentials: DO
Additional Credentials:
Approximate Years of Experience: 46
PAC (PECOS ID)#: 2769376383
NPI #: 1780666461
NPI Created On: 11/17/2005
NPI Last Updated Listed as: 12/13/2011
Primary Taxonomy Code: 207Q00000X
License Number:
5101007588
Listed Gender: Male

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Humana
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English, Arabic.


Services and Procedures include:

  1. Aspiration and/or injection of large joint or joint capsule
  2. X-ray of chest, 2 views
  3. Urinalysis, manual test
  4. Blood glucose (sugar) test performed by hand-held instrument
  5. Hemoglobin a1c level
  6. Vaccine for influenza for administration into muscle, 0.5 ml dosage
  7. Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
  8. Routine ekg using at least 12 leads including interpretation and report
  9. Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
  10. New patient office or other outpatient visit, typically 30 minutes
  11. New patient office or other outpatient visit, typically 45 minutes
  12. Established patient office or other outpatient visit, typically 10 minutes
  13. Established patient office or other outpatient visit, typically 15 minutes
  14. Established patient office or other outpatient, visit typically 25 minutes
  15. Advance care planning by the physician or other qualified health care professional
  16. Administration of influenza virus vaccine
  17. Administration of pneumococcal vaccine
  18. Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
  19. Injection, methylprednisolone acetate, 40 mg

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796032041

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796032043

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818705399

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Neuroscience

Name of Drug #1: EMGALITY

Open Associated Drug #1: 0002-1436-11

Drug or Biological: Drug

Product Category #2: Neuroscience

Name Of Drug #2:: REYVOW

Associated Drug #2: 0002-4491-08


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 818745785

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Neuroscience

Name of Drug #1: EMGALITY

Open Associated Drug #1: 0002-1436-11

Drug or Biological: Drug

Product Category #2: Neuroscience

Name Of Drug #2:: REYVOW

Associated Drug #2: 0002-4491-08


Payments Total: $33

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 801971721

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: VACCINES

Name of Drug #1: SHINGRIX

Open Associated Drug #1: 58160-823-11


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 810995951

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: RYBELSUS

Associated Drug #2: 0169-4303-13


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 783133969

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Endocrinology

Name of Drug #1: Strensiq

Open Associated Drug #1: 25682-010-12


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 848693823

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: VACCINE

Name of Drug #1: GARDASIL 9

Open Associated Drug #1: 0006-4119-03

Drug or Biological: Biological

Product Category #2: VACCINE

Name Of Drug #2:: PNEUMOVAX 23

Associated Drug #2: 0006-4943-00

Drug or Biological #3:: Biological

Product Category #3: VACCINE

Name of Drug: VAQTA

Name Of Drug #3: 0006-4095-02

Drug or Biological: Biological

Product Category #4: VACCINE

Name of Drug #4: VAXELIS

Associated Drug #4: 63361-243-10


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 837445375

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: CARBONIC ANHYDRASE INHIBITOR

Name of Drug #1: KEVEYIS

Open Associated Drug #1: 71090-001-01


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 839668783

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Respiratory

Name of Drug #1: AirDuo Digihaler

Open Associated Drug #1: 59310-111-06


Additional Office Locations

1. Primecare Urgent Care Pllc
39555 W 10 Mile Rd
Novi, MI 48375
Suite 301
Group Members: 4

Phone: 248-8426

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Providers in Primecare Of Novi Pllc

1.Hannah Boike

39555 W 10 Mile Rd
Novi Mi 48375-2950
Primecare Of Novi Pllc
Nurse Practitioner

2.Bandi Jones

39555 W 10 Mile Rd
Novi Mi 48375-2950
Primecare Of Novi Pllc
Nurse Practitioner

3.Marybeth Kostiuk

39555 W 10 Mile Rd
Novi Mi 48375-2950
Primecare Of Novi Pllc
Family Practice

4.Theodore Shively Do

39555 W 10 Mile Rd
Novi Mi 48375-2950
Primecare Of Novi Pllc
Family Practice

5.Robert Zaid

39555 W 10 Mile Rd
Novi Mi 48375-2950
Primecare Of Novi Pllc
Family Practice

6.Alexander Zayid

39555 W 10 Mile Rd
Novi Mi 48375-2950
Primecare Of Novi Pllc
Family Practice

View all 6 members of Primecare Of Novi Pllc medical group