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SHAWN SUDLER PA-S
NPI 1164390282
Physician Assistant in Clayton, NC

Active since October 29, 2025PECOS EnrolledAccepts Medicare Assignment
11911 CLAYTON BLVD, CLAYTON, NC 27520(866) 329-2727 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shawn Sudler Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN SUDLER PA-S (NPI 1164390282) is an individual physician assistant in Clayton, North Carolina, licensed in North Carolina (0010-16394) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164390282
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAWN SUDLERCredential: PA-S
Location Address11911 CLAYTON BLVDClayton, NC 27520-2144
Mailing Address11911 Clayton BlvdClayton, NC 27520-2144
Phone(866) 329-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2025
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1164390282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-16394
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11911 CLAYTON BLVD, Clayton, NC 27520
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn Sudler Pa-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456828623
PECOS Enrollment IDI20260424001075
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALINA DORA POCZOBUTT NP
Nurse Practitioner (Family)
11911 CLAYTON BLVD
CLAYTON, NC 27520
Johnston County (919) 359-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Sudler's NPI number?

The NPI number for Shawn Sudler is 1164390282. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Shawn Sudler located?

Shawn Sudler practices at 11911 Clayton Blvd, Clayton, NC 27520. The listed phone number is (866) 329-2727.

What is Shawn Sudler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shawn Sudler enrolled in Medicare?

Yes. Shawn Sudler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shawn Sudler was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.