SHAUN MICHAEL EISENGRUBER (PA-C) – Surgical Physician Assistant, NPI 1336432764

SHAUN MICHAEL EISENGRUBER (PA-C) is a healthcare provider. based in Grayling, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007080 (MI). The NPI Number for SHAUN MICHAEL EISENGRUBER (PA-C) is 1336432764

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
SHAUN MICHAEL EISENGRUBER (PA-C)
NPI
1336432764
Phone
(989) 348-0800
Address
1010 W North Down River Rd
Enumeration Date
18 May 2011
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2317233501
Graduation Year
2014 (12 years ago)
PAC ID
6507189941
Group Practice PAC ID
3072414333
Professional Enrollment ID
I20141216001675
Address ID
MI496609709MA1465XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for SHAUN MICHAEL EISENGRUBER (PA-C)

  • 1010 W North Down River Rd

    Grayling, MI 497382060

    Phone: (989) 348-0800

    Fax: (231) 935-7883

    Type: Location

  • 4045 W Royal Dr

    Traverse City, MI 496848965

    Phone: (231) 935-0900

    Type: Location

  • 2147 Professional Dr

    Gaylord, MI 497350003

    Phone: (989) 732-1753

    Fax: (989) 731-1425

    Type: Location

  • 1345 E Parkdale Ave

    Manistee, MI 496609318

    Phone: (231) 398-1750

    Type: Location

  • 8872 Professional Dr Ste B

    Cadillac, MI 496018482

    Phone: (231) 779-0320

    Type: Location

  • 4175 N EUCLID AVE

    BAY CITY, MI 487062483

    Phone: (989) 667-3161

    Type: Mailing

  • 3537 W FRONT ST

    TRAVERSE CITY, MI 496847941

    Phone: (231) 395-5880

    Fax: (231) 935-3464

    Type: Mailing

  • 3537 W FRONT ST STE E

    TRAVERSE CITY, MI 496847943

    Phone: (231) 935-5880

    Fax: (231) 935-3464

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,468.

Total Amount is formed as General ($1,468) + Research ($0) + Ownership ($0) = $1,468.

Last reported payment date: 2023-10-13 • Largest payer in this snapshot: Arthrex, Inc. ($717).

Total Amount

$1,468

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-13

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: 2014-12-16

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
I20141216001675IPhysician AssistantMITBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9222$0
99213Established patient office or other outpatient visit, 20-29 minutes4638$0
73030X-ray of shoulder, minimum of 2 views2821$0
20610Aspiration and/or injection of fluid from large joint1815$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 49738)

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Provider's Procedures

SHAUN MICHAEL EISENGRUBER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI27447Repair of knee joint2827

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: 3072414333View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantMI
Nurse PractitionerMI
U R O L O G YMI
Physician AssistantMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Clinical Social WorkerMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHAUN MICHAEL EISENGRUBER (PA-C)?
SHAUN MICHAEL EISENGRUBER (PA-C) — NPI 1336432764 — is the standard way to identify this listing.
Is SHAUN MICHAEL EISENGRUBER (PA-C) listed as active for patients and plans?
The listing shows SHAUN MICHAEL EISENGRUBER (PA-C) as active in the NPI system.
What taxonomy line describes SHAUN MICHAEL EISENGRUBER (PA-C)?
For research purposes, treat SHAUN MICHAEL EISENGRUBER (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SHAUN MICHAEL EISENGRUBER (PA-C) on a map?
Expect Grayling, Michigan as a primary anchor for SHAUN MICHAEL EISENGRUBER (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
9 practice locations appear in the available data.

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