Jordan Tyler Shively, D.O.
NPI 1194170910ActiveIndividual· Surgery· Las Vegas, NV
Surgery (D.O.) with William Bee Ririe Hospital and 1 other group, practicing in Las Vegas, Nevada. 256 Medicare patients in 2024, $77,849 paid; nearly all of their 202 Part D prescriptions were generic (92%). Bard Peripheral Vascular, Inc. was the largest of 3 companies reporting payments in 2025, $212.54 in all, mostly food and beverage. Lists Mountainview Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1194170910 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 29, 2016 |
| Last updated in NPPES | Jul 1, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | DO2821 | NV |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 256 |
|---|---|
| Services billed | 436 across 50 procedure codes |
| Paid by Medicare | $77,849 |
Part D prescriptions in 2024
| Prescriptions (claims) | 202 · 204 30-day fills |
|---|---|
| Patients | 127 |
| Total drug cost | $2,595 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | General Surgery |
| Telehealth | Offers telehealth |
Medical groups
- William Bee Ririe HospitalEly, NV · 41 clinicians
- Lv Surgery Associates PLLCLas Vegas, NV · 28 clinicians
Hospital affiliations
- Mountainview HospitalLas Vegas, NV
- Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV
- Spring Valley Hospital Medical CenterLas Vegas, NV
- Summerlin Hospital Medical CenterLas Vegas, NV
- West Henderson HospitalHenderson, NV
Industry payments (Open Payments)
- 2025$212.54 · 3 payments from 3 companies
- 2024$4,307 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bard Peripheral Vascular, Inc. | $99.04 | 1 |
| Balt USA, LLC | $89.60 | 1 |
| Medtronic, Inc. | $23.90 | 1 |
What the 2025 payments were for
- Food and Beverage$212.54 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 174 general surgeons in Las Vegas · All general surgeons in Nevada