Medicare Enrolled
Dr. James Shiver, M.D.
Family Medicine · Athens, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Shiver from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Shiver
Dr. James Shiver is a family medicine specialist in Athens, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Shiver performed 2,343 Medicare services across 1,557 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shiver received a total of $11,261 from 54 pharmaceutical and/or device companies across 806 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Shiver is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 15% volume in GA
$11,261 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,343
Medicare services
Top 15% in GA for family medicine
1,557
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~117 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
411 | $78 | $210 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
397 | $55 | $140 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
277 | $8 | $13 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
223 | $63 | $161 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
205 | $120 | $223 |
| Annual depression screening | 202 | $17 | $34 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
160 | $0 | $12 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
136 | $10 | $32 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
63 | $77 | $252 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
59 | $10 | $48 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
48 | $16 | $52 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
36 | $35 | $80 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
24 | $188 | $444 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
23 | $3 | $18 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
20 | $151 | $314 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
17 | $4 | $18 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
16 | $48 | $210 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
15 | $0 | $40 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
11 | $41 | $75 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$11,261
Total received (2018-2024)
Avg $1,609/year across 7 years
Top 4% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
806
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,261 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,253
2023
$1,492
2022
$1,531
2021
$1,722
2020
$1,581
2019
$1,618
2018
$2,064
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$168
AstraZeneca Pharmaceuticals LP
$159
PFIZER INC.
$159
Novo Nordisk Inc
$137
Bayer Healthcare Pharmaceuticals Inc.
$84
Abbott Laboratories
$72
Otsuka America Pharmaceutical, Inc.
$70
Exact Sciences Corporation
$59
GlaxoSmithKline, LLC.
$57
Amgen Inc.
$56
Corcept Therapeutics
$47
Astellas Pharma US Inc
$38
ABBVIE INC.
$32
Novartis Pharmaceuticals Corporation
$29
Boston Scientific Corporation
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$19
Lundbeck LLC
$16
IDORSIA PHARMACEUTICALS US INC
$15
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$14
Top 3 companies account for 38.8% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,707
AstraZeneca Pharmaceuticals LP
$1,304
Lilly USA, LLC
$834
Amgen Inc.
$764
PFIZER INC.
$645
Boehringer Ingelheim Pharmaceuticals, Inc.
$636
GlaxoSmithKline, LLC.
$535
Takeda Pharmaceuticals U.S.A., Inc.
$382
Abbott Laboratories
$303
Teva Pharmaceuticals USA, Inc.
$299
Corcept Therapeutics
$289
SANOFI-AVENTIS U.S. LLC
$276
Janssen Pharmaceuticals, Inc
$210
AbbVie Inc.
$191
Bayer Healthcare Pharmaceuticals Inc.
$188
ABBVIE INC.
$187
Biohaven Pharmaceuticals, Inc.
$174
Otsuka America Pharmaceutical, Inc.
$173
Merck Sharp & Dohme Corporation
$144
Shire North American Group Inc
$143
IDORSIA PHARMACEUTICALS US INC
$142
Allergan, Inc.
$137
ARBOR PHARMACEUTICALS, INC.
$133
Kowa Pharmaceuticals America, Inc.
$130
E.R. Squibb & Sons, L.L.C.
$120
Astellas Pharma US Inc
$109
Novartis Pharmaceuticals Corporation
$107
Amarin Pharma Inc.
$102
Genentech USA, Inc.
$80
Exact Sciences Corporation
$78
AbbVie, Inc.
$69
Allergan Inc.
$61
Arbor Pharmaceuticals, Inc.
$58
Insulet Corporation
$56
Lundbeck LLC
$53
Bardy Diagnostics, Inc.
$43
Avanir Pharmaceuticals, Inc.
$41
Biohaven Pharmaceutical Holding Company Ltd.
$39
Hikma Pharmaceuticals USA
$38
Azurity Pharmaceuticals, Inc.
$34
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$28
Ironwood Pharmaceuticals, Inc
$25
Boston Scientific Corporation
$24
West-Ward Pharmaceuticals
$20
Nalpropion Pharmaceuticals LLC
$20
Synergy Pharmaceuticals Inc
$17
Sunovion Pharmaceuticals Inc.
$17
Medtronic MiniMed, Inc.
$16
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$14
Currax Pharmaceuticals LLC
$14
Aytu BioScience, Inc
$13
Circassia Pharmaceuticals Inc
$13
Endo Pharmaceuticals Inc.
$13
Medtronic Vascular, Inc.
$13
Top 3 companies account for 34.1% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AVEED · Aimovig · Amitiza · BEVESPI AEROSPHERE · BOOSTRIX · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CAPLYTA · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · Carnation Ambulatory Monitor · ClosureFast · Cologuard Collection Kit · DUZALLO · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · Edarbyclor · FARXIGA · FASENRA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · FreeStyle Lite system · GARDASIL 9 · INVOKANA · JANUMET · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LYRICA · Livalo · MOUNJARO · MYDAYIS · Minimed 630G · Mitigare · Myrbetriq · NUEDEXTA · NURTEC ODT · Natesto · ONZETRA Xsail · Omnipod · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · QVAR · RELISTOR · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Trulance · UBRELVY · UTIBRON · Uloric · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · Victoza · Vyvanse · Wegovy · XARELTO · XIFAXAN · Xofluza · Xultophy 100/3.6
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in GA.
Geographic Context
Family medicine physicians within 10 mi
126
Per 100K population
97.5
County median income
$52,267
Nearest hospital
ST MARY'S HOSPITAL
6.7 mi
6.7 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Shiver is a clinical cardiology specialist, with above-average Medicare volume (top 15% in GA), with low-engagement industry engagement in the top 4% of GA peers, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Shiver experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shiver performed 411 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shiver receive payments from pharmaceutical companies?
Yes. Dr. Shiver received a total of $11,261 from 54 companies across 806 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shiver's costs compare to other family medicine physicians in Athens?
Dr. Shiver's average Medicare payment per service is $49. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shiver) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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