EVERETT LEE SHAW (PA-C) – Physician Assistant, NPI 1437444163
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for EVERETT LEE SHAW (PA-C)
517 N MAIN ST
ANNA, IL 629061668
Phone: (618) 833-4300
Fax: (618) 833-9058
Type: Location
4775 E MARYLAND ST
DECATUR, IL 625218820
Phone: (217) 864-3737
Fax: (217) 864-3468
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($48).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $48 |
| PFIZER INC. | $16 |
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: 2023-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231206000953 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 397 | 206 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 62906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology) | KY | |
| Emergency Medicine | OH | |
| General Surgery | KY | |
| Internal Medicine, Hematology/Oncology | KY | |
| P S Y C H I A T R Y | TN | |
| Orthopedic Surgery | KY | |
| P S Y C H I A T R Y | KY | |
| Radiation Oncology | TX | |
| Nurse Practitioner | KY |
Reviews
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