Shanley Marie O'Brien, MD
NPI 1104265933ActiveIndividual· Internal Medicine, Rheumatology· Traverse City, MI
Internal Medicine, Rheumatology (MD) in Traverse City, Michigan, licensed in MI and KS, with an NPI issued in June 2013. Part D covered 83 prescriptions written in 2024, 92% of them generic.
Overview
| NPI | 1104265933 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 14, 2013 |
| Last updated in NPPES | Nov 10, 2022 |
| Certified by provider | Nov 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 4301500409 | MI |
| Internal Medicine | 207R00000X | 9408209 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 145 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $35,286 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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