MR. WILLIAM E JR. SHAW (PA-C) – Physician Assistant, NPI 1689652133
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MR. WILLIAM E JR. SHAW (PA-C)
326, East 1st Street, Ponca, Dixon County, Nebraska, 68770, United States
DIXON, IL 610213190
Phone: (815) 285-5800
Fax: (815) 285-5821
Type: Mailing
101 E MILLER RD
STERLING, IL 610811252
Phone: (815) 625-4790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171011003233 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 156 | 95 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 61021)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 20610 | Aspiration and/or injection of large joint or joint capsule | 30 | 20 |
| PHYSICIAN ASSISTANT | MO | 27447 | Repair of knee joint | 21 | 18 |
| PHYSICIAN ASSISTANT | MO | 73110 | X-ray of wrist, minimum of 3 views | 30 | 20 |
| PHYSICIAN ASSISTANT | MO | 73562 | X-ray of knee, 3 views | 55 | 49 |
| PHYSICIAN ASSISTANT | MO | 73630 | X-ray of foot, minimum of 3 views | 21 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Orthopedic Surgery | IL | |
| Qualified Audiologist | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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