Doctor profile · Federal record
Dr. Shirley Tom, MD
Geriatric Medicine (Internal Medicine) Physician (CMS: Geriatric Medicine) · Internal Medicine Physician · Dearborn, MI
- NPI 1639483084
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
17000 Hubbard Dr
Dearborn, MI 481264258
(313) 593-7000
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- September 16, 2016
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RG0300X — NUCC code
- State license (1)
- Michigan #4301097230
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639483084. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
377
Distinct HCPCS
9
Medicare allowed
$29,996
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 103 | 68 | $104 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 92 | 69 | $79 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 59 | 59 | $62 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 38 | 33 | $8 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 29 | 17 | $32 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $186 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 16 | 13 | $106 | |
99496 |
Transitional care management services for problem of high complexity | 13 | 11 | $141 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $61 |
In context: peer comparison
Among 4 peers in Dearborn Geriatric Medicine (Internal Medicine) Physician, average services per provider: 156. This provider delivers 2.4× the peer median.Open Payments
Industry payments received
All-time total
$243
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 3 | $218.84 | |
| Medtronic, INC. | 1 | $24.64 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,304
Patients
712
Total drug cost
$42,428
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 372 | 113 | $7,423 |
| Levothyroxine Sodium | Generic | 252 | 68 | $5,088 |
| Amlodipine Besylate | Generic | 235 | 81 | $3,228 |
| Lisinopril | Generic | 207 | 65 | $2,709 |
| Losartan Potassium | Generic | 167 | 51 | $3,760 |
| Omeprazole | Generic | 156 | 47 | $2,532 |
| Metformin Hcl | Generic | 151 | 46 | $2,042 |
| Metoprolol Succinate | Generic | 125 | 37 | $3,264 |
| Gabapentin | Generic | 121 | 43 | $3,379 |
| Rosuvastatin Calcium | Generic | 120 | 36 | $2,779 |
Hospital affiliations
Frequently asked questions
What is Dr. Shirley Tom's medical specialty?
Dr. Shirley Tom practices Geriatric Medicine (Internal Medicine) Physician in Dearborn, MI.
Where does Dr. Shirley Tom practice?
Dr. Shirley Tom practices at 17000 Hubbard Dr, Dearborn, MI 481264258. Office phone: 3135937000.
What is Dr. Shirley Tom's NPI?
Dr. Shirley Tom's National Provider Identifier (NPI) is 1639483084, issued by NPPES.
Does Dr. Shirley Tom accept Medicare assignment?
Yes. Dr. Shirley Tom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shirley Tom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.