SHAWN E GUNDER (PA-C) – Surgical Physician Assistant, NPI 1134356876

SHAWN E GUNDER (PA-C) is a healthcare provider. based in Augusta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002919 (GA). The NPI Number for SHAWN E GUNDER (PA-C) is 1134356876

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN E GUNDER (PA-C)
NPI
1134356876
Phone
(706) 722-3401
Address
811 13TH ST STE 20
Enumeration Date
21 June 2009
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068639797
Graduation Year
1997 (29 years ago)
PAC ID
1850445818
Group Practice PAC ID
8527052463
Professional Enrollment ID
I20090811000301
Address ID
GA309091867AU3650XCIRX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for SHAWN E GUNDER (PA-C)

  • 811 13TH ST STE 20

    AUGUSTA, GA 309012771

    Phone: (706) 722-3401

    Fax: (706) 724-6540

    Type: Mailing

  • Box Turtle Run, Augusta Acres, Greenville County, South Carolina, 29636, United States

    AUGUSTA, GA 309174630

    Phone: (706) 722-6957

    Fax: (706) 722-7454

    Type: Mailing

  • 840, Stevens Creek Road, Bonair, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309079251

    Phone: (706) 722-6957

    Fax: (706) 722-7454

    Type: Location

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 $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($88).

Total Amount

$178

General + Research + Ownership

Payments

5

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090811000301IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes321238$0
72100X-ray of lower and sacral spine, 2-3 views188144$0
72040X-ray of upper spine, 2-3 views6957$0
J2920Injection, methylprednisolone sodium succinate, up to 40 mg2719$0
20552Injection of trigger points, 1-2 muscles1917$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527052463View full group profile
NameSpecialtyState
Nurse PractitionerGA
Orthopedic SurgeryGA
Physician AssistantGA
Physical Medicine And RehabilitationMA
Orthopedic SurgeryGA
Physician AssistantGA
Physician AssistantGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Physician AssistantGA

Reviews

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Frequently asked questions

How is SHAWN E GUNDER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists SHAWN E GUNDER (PA-C) with NPI 1134356876.
Does CMS list SHAWN E GUNDER (PA-C) as active?
Yes — SHAWN E GUNDER (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes SHAWN E GUNDER (PA-C)?
For research purposes, treat SHAWN E GUNDER (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SHAWN E GUNDER (PA-C)?
SHAWN E GUNDER (PA-C)'s geographic hint is Augusta, Georgia in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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