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Dr. Daniel Shigley , DO

Emergency Medicine โ€ข Kettering, OH

Active NPI 1790218535 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3525 Southern Blvd
Kettering, OH 454291221

Call 9373958839 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3525 Southern Blvd

Kettering, OH 454291221

Telephone 9373958839
Fax 9373958387
Organization at the Same NPPES Address or Phone
Wright State University Dept Of Emergency Medicine Facility NPI 1699846287

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Phs Emergency Billing Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

363 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $55,813 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $43,730 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

142 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$598 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Shigley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Shigley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kettering and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: 408. Middle half: 280 to 575.

Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: 317. Middle half: 182 to 477.

Medicare-allowed amount

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: $50,554. Middle half: $38,381 to $63,908.

A higher Medicare-allowed amount than 70% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $39,994. Middle half: $23,011 to $58,136.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: $38,862. Middle half: $30,019 to $49,247.

A higher Medicare payment amount than 70% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $30,587. Middle half: $17,377 to $44,685.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 105 clinicians with data). Median for this group: 106. Middle half: 51 to 208.

More Part D prescriptions than 65% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: 96. Middle half: 42 to 175.

Part D drug cost

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 105 clinicians with data). Median for this group: $725. Middle half: $314 to $1,359.

Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: $536. Middle half: $229 to $1,099.

147 active clinicians are listed under Emergency Medicine with a practice address in Kettering, OH (3,004 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

0% of these 147 clinicians have the CMS telehealth indicator.

70.1% of these 147 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit with high level of medical decision making
227 226 $659.00 $168.07
99284 Emergency department visit with moderate level of medical decision making
102 99 $453.00 $115.93
99291 Critical care, first 30-74 minutes
24 24 $837.00 $202.54
99283 Emergency department visit with low level of medical decision making
15 15 $247.00 $65.04

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 25 100 $171.47 25
Prednisone Prednisone 21 119 $43.77 21
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 21 58 $60.79 21
Cephalexin Cephalexin 17 95 $91.44 17
Methocarbamol Methocarbamol 17 109 $58.32 17
Ibuprofen Ibuprofen 16 109 $24.65 16
Doxycycline Hyclate Doxycycline Hyclate 14 107 $121.79 14
Naproxen Naproxen 11 109 $25.46 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-30
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES OH 34.014096

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20200713003031

Enrollment State Jurisdiction

OH

PECOS Control ID

0941579239

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Phs Emergency Billing Llc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372088000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Dr. Tyler Adams , MD

Student in an Organized Health Care Education/Training Program

NPI 1710627799

Doctor of Medicine (M.D.)

Dr. Matt Arroyo , DO

Emergency Medicine

NPI 1669867867

Doctor of Osteopathic Medicine (D.O.)

Dr. Ryan Babienco , MD

Emergency Medicine

NPI 1346635570

Doctor of Medicine (M.D.)

Jamie Bonner

Emergency Medicine

NPI 1609230077
Dr. Elizabeth Burdick , MD

Emergency Medicine

NPI 1609453448

Doctor of Medicine (M.D.)

Dr. Joseph Burkhammer , MD

Emergency Medicine

NPI 1396205944

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Business Mailing Address September 30, 2020

Registered at 1 WYOMING ST, DAYTON, OH 454092722 (Tel: 9372083356)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Emergency Medicine (license number reported to NPPES: OH 34.014096)

โœ…
NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address May 11, 2017

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

๐Ÿ“
Updated Practice Location May 11, 2017

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

๐Ÿ‘ค
Provider Name / Credentials Updated May 11, 2017

Recorded as DANIEL SHIGLEY, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Student in an Organized Health Care Education/Training Program

โœ…
NPI Profile Active April 08, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 08, 2017

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

๐Ÿ“
Business Mailing Address (Initial Record) April 08, 2017

Registered at 426 BRIDGEWOOD CT, BOILING SPRINGS, SC 293165381 (Tel: 8124990237)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 08, 2017

Recorded as DANIEL SHIGLEY, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2017

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790218535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2017
Last Update: September 30, 2020
Sole Proprietor: Yes

Other Emergency Medicine Providers in Kettering

All Emergency Medicine Providers in Kettering

Mailing Address

1 Wyoming St

Dayton, OH 454092722

Phone: 9372083356

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.