NPIMap

Individual provider Active NPI

Timothy Scott Shaver, M.D.

  • Family Medicine Physician
  • Orangeburg, SC
National Provider Identifier
1275598674
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23333 Issued in SC
Practice address
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone
(803) 395-2200
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 23333 SC
Family Medicine Physician 207Q00000X 23333 SC Primary

Addresses

Primary practice location

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442

Mailing address

1338 Sanford Dr
Columbia, SC 29206-4550
Phone (803) 782-1330

Other identifiers 1

IdentifierTypeStateIssuer
233330MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000274 SC Practitioner - Family PracticePractitioner - Geriatric Medicine 4284661869 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of South Carolina School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

651 A Harry C Raysor Dr
Saint Matthews, SC 29135-1487
Phone (803) 395-3755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edisto Regional Health Services Inc CurrentSince Sep 28, 2015 Accepting new patients
Edisto Regional Health Services Inc. Family Medicine Current Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Aug 9, 2006 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Family Medicine Current Accepting new patients
Musc Community Physicians Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Edisto Regional Health Services Inc. Family Medicine CurrentSince Sep 28, 2015 Accepting new patients
Musc Community Physicians CurrentSince Mar 1, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Aug 9, 2006 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Aiken Integrated Medical, PC Family Medicine Past Accepting new patients
Strong Health Chiropractic LLC Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

187 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 395-3068

4631 Savannah Hwy
North, SC 29112
Phone (803) 247-2428

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

651A Harry C Raysor Dr
St Matthews, SC 29135
Phone (803) 395-3737

Interoperability endpoints

  • Direct secure messaging: tshaver442659@direct.musc.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275598674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 SANFORD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064550",
            "telephone_number": "803-782-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181442",
            "telephone_number": "803-395-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "23333",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233330",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.