DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH) – Family Medicine Physician, NPI 1174904981
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for DR. SIAVASH DAVID SHAHBODAGHI (MD/MPH)
300 EAST HOSPITAL ROAD
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 309055650
Phone: (706) 787-9281
Type: Mailing
1 AVENUE N
HASKELL, TX 795215415
Phone: (940) 228-4321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Ultragenyx Pharmaceutical Inc. ($17).
Total Amount
$76
General + Research + Ownership
Payments
5
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultragenyx Pharmaceutical Inc. | $17 |
| Organogenesis Inc. | $15 |
| Dexcom, Inc. | $15 |
| Exact Sciences Corporation | $14 |
| Lilly USA, LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190916000298 | I | Family Practice | TX | TBD |
| I20220329001321 | I | Family Practice | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 65 | 55 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 58 | 33 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 41 | 37 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 29 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 12 | $0 |
Insurance plans in this area (ZIP 30905)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MT | |
| Physician Assistant | MT | |
| H E M A T O L O G Y/ O N C O L O G Y | MT | |
| Nurse Practitioner | MT | |
| Family Practice | OR | |
| Physician Assistant | MT | |
| Physician Assistant | MT | |
| Internal Medicine, Nephrology | MT | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT |
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