EVERETT LEE SHAW PA-C
NPI 1437444163
Physician Assistant in Decatur, IL
About Everett Lee Shaw Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERETT LEE SHAW PA-C (NPI 1437444163) is an individual physician assistant in Decatur, Illinois, licensed in Illinois (085.004037) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Everett Lee Shaw Pa-c 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Owensboro Health Regional Hospital
Acute Care Hospitals · Owensboro, KYJennie Stuart Medical Center
Acute Care Hospitals · Hopkinsville, KYBaptist Health Deaconess Madisonville
Acute Care Hospitals · Madisonville, KYTrigg County Hospital
Critical Access Hospitals · Cadiz, KYCaldwell Medical Center
Critical Access Hospitals · Princeton, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 13
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Everett Shaw's NPI number?
The NPI number for Everett Shaw is 1437444163. It was assigned to this individual provider in the NPPES registry on June 10, 2011.
Where is Everett Shaw located?
Everett Shaw practices at 4775 E Maryland St, Decatur, IL 62521. The listed phone number is (217) 864-3737.
What is Everett Shaw's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Everett Shaw enrolled in Medicare?
Yes. Everett Shaw 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.
Is Everett Shaw affiliated with any hospitals?
According to CMS data, Everett Shaw is affiliated with Owensboro Health Regional Hospital, Jennie Stuart Medical Center, Baptist Health Deaconess Madisonville, Trigg County Hospital and Caldwell Medical Center.
When was this NPI record last updated?
The NPPES record for Everett Shaw was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Everett Lee Shaw, PA-C · NPI 1437444163
Physician Assistant physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since June 10, 2011.
## Identity
- **NPI:** 1437444163 (Entity type: Individual)
- **Enumerated:** June 10, 2011
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 085.004037 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4775 E MARYLAND ST, Decatur, IL 62521-8820
- **Phone:** (217) 864-3737 · **Fax:** (217) 864-3468
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** January 17, 2023
- **Other identifiers:** Other 205790002 (IL); Other 1051123
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Source: [NPI Profile](https://npiprofile.com/npi/1437444163) · Data from the CMS NPPES public registry.