IAN THOMAS SHUPE (MSPAS, PA-C, RT(R)) – Physician Assistant, NPI 1528632825
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for IAN THOMAS SHUPE (MSPAS, PA-C, RT(R))
1910 E Barnett Rd Ste 104
Medford, OR 975048672
Phone: (541) 956-4647
Fax: (541) 779-3927
Type: Location
17607 SW FALLING LEAF CT
BEAVERTON, OR 970037558
Phone: (360) 991-2491
Type: Mailing
842 E MAIN ST
MEDFORD, OR 975047155
Phone: (541) 618-5800
Fax: (541) 779-3027
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $461.
Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($215).
Total Amount
$461
General + Research + Ownership
Payments
10
Total payment records
General Amount
$461
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $215 |
| E.R. Squibb & Sons, L.L.C. | $100 |
| AstraZeneca Pharmaceuticals LP | $45 |
| UCB, Inc. | $38 |
| ABBVIE INC. | $33 |
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: 2024-10-22
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 |
|---|---|---|---|---|
| I20210609003540 | I | Physician Assistant | OR | TBD |
| I20241022005181 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 62 | 54 | $0 |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 45 | 21 | $0 |
| 74230 | Imaging for evaluation of swallowing function | 35 | 33 | $0 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 31 | 31 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 17 | 17 | $0 |
Insurance plans in this area (ZIP 97504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | ID | |
| Nurse Practitioner | ID | |
| - | WA | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | UT | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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