MR. MICHAEL ANDREW SHAW (PAC) – Physician Assistant, NPI 1699905026
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MR. MICHAEL ANDREW SHAW (PAC)
4881 SUGAR MAPLE DR
WPAFB, OH 454335529
Phone: (937) 257-9416
Type: Mailing
1229 C AVE E
OSKALOOSA, IA 525774246
Phone:
Type: Mailing
1229 C Ave E
Oskaloosa, IA 525774246
Phone: (641) 672-3193
Type: Location
4881 Sugar Maple Dr
Wpafb, OH 454335529
Phone: (937) 257-9416
Type: Location
2800 BUFORD DR STE 410
BUFORD, GA 305195107
Phone: (770) 292-6500
Fax: (770) 292-6535
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,323.
Total Amount is formed as General ($1,323) + Research ($0) + Ownership ($0) = $1,323.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($728).
Total Amount
$1,323
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $728 |
| DePuy Synthes Sales Inc. | $308 |
| Zimmer Biomet Holdings, Inc. | $135 |
| Endo USA, Inc. | $79 |
| Prism Medical | $41 |
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: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210407000616 | I | Physician Assistant | IA | TBD |
| I20250919001873 | I | Physician Assistant | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45433)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.