Kerry Kathleen Shuffelbottom , PA-C
Physician Assistant โข Pooler, GA
200 Blue Moon Xing Ste 203
Pooler, GA 313229698
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Kerry Shuffelbottom is listed in NPPES under Physician Assistant.
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NPI assigned on January 28, 2011; this date does not establish years in practice.
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Published CMS data list 358 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 200 service units.
- 80307 โ Testing for presence of drug, by chemistry analyzers: 36 service units.
- G0483 โ Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms: 35 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 251 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tizanidine Hcl โ 70 prescription fills, including refills.
- Gabapentin โ 55 prescription fills, including refills.
- Baclofen โ 26 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 43 in 2021 to 358 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
200 Blue Moon Xing Ste 203
Pooler, GA 313229698
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Brunswick, GA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
183 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $38,038 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $28,673 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
434 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$8,148 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $71.37 across 3 records.
By nature of payment
- Food and Beverage: $71.37 across 3 records.
Reporting-company totals
- ABBVIE INC.: $71.37 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kerry Shuffelbottom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kerry Shuffelbottom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Pooler and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.
Too few clinicians listed under Physician Assistant in Pooler have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $15,567. Middle half: $5,959 to $34,890.
Too few clinicians listed under Physician Assistant in Pooler have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $11,516. Middle half: $4,485 to $25,995.
Too few clinicians listed under Physician Assistant in Pooler have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: 227. Middle half: 71 to 699.
Too few clinicians listed under Physician Assistant in Pooler have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: $4,172. Middle half: $609 to $75,033.
Too few clinicians listed under Physician Assistant in Pooler have Medicare Part D data for 2024 to compare.
14 active clinicians are listed under Physician Assistant with a practice address in Pooler, GA (4,665 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pooler
7.1% of these 14 clinicians have the CMS telehealth indicator.
42.9% of these 14 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 733% from 43 in 2021 to 358 in 2024.
- 2021: 43
- 2023: 95
- 2024: 358
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Medicare-allowed amount
Medicare-allowed amount increased 863% from $3,950 in 2021 to $38,038 in 2024.
- 2021: $3,950
- 2023: $10,672
- 2024: $38,038
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Paid by Medicare
Paid by Medicare increased 808% from $3,159 in 2021 to $28,673 in 2024.
- 2021: $3,159
- 2023: $9,102
- 2024: $28,673
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 904% from 25 in 2019 to 251 in 2024.
- 2019: 25
- 2020: 13
- 2022: 14
- 2023: 1,297
- 2024: 251
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30-day fills
30-day fills increased 1627% from 25 in 2019 to 434 in 2024.
- 2019: 25
- 2020: 13
- 2022: 20
- 2023: 1,571
- 2024: 434
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Part D drug cost
Part D drug cost went from $347 in 2019 to $8,148 in 2024.
- 2019: $347
- 2020: $160
- 2022: $233
- 2023: $116,682
- 2024: $8,148
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $367.13 in 2021 to $71.37 in 2025.
- 2021: $367.13
- 2022: $1,539.08
- 2023: $4,471.34
- 2024: $500.66
- 2025: $71.37
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $71.37.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $28.79 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $26.23 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $16.35 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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200 | 132 | $500.22 | $99.14 |
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80307
Testing for presence of drug, by chemistry analyzers
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36 | 35 | $249.00 | $60.90 |
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G0483
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
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35 | 34 | $988.94 | $241.98 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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33 | 29 | $354.15 | $70.24 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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28 | 28 | $753.77 | $106.89 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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26 | 16 | $524.77 | $86.05 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tizanidine Hcl | Tizanidine Hcl | 70 | 4,074 | $951.54 | 40 |
| Gabapentin | Gabapentin | 55 | 2,574 | $916.06 | 31 |
| Baclofen | Baclofen | 26 | 1,438 | $338.34 | 17 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 24 | 1,132 | $306.81 | 15 |
| Methocarbamol | Methocarbamol | 17 | 763 | $328.09 | 11 |
| Duloxetine Hcl | Duloxetine Hcl | 17 | 1,050 | $500.00 | โ |
| Diclofenac Sodium | Diclofenac Sodium | 15 | 534 | $2,999.79 | โ |
| Lidocaine | Lidocaine | 14 | 570 | $1,759.48 | โ |
| Meloxicam | Meloxicam | 13 | 750 | $48.33 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-10-12NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20180917000061
GA
3678754264
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
3408 Trout St
Brunswick, GA 315203622
Phone: 9125900973
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Pain Medicine - Interventional Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Pain Medicine - Interventional Pain Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 200 BLUE MOON XING STE 203, POOLER, GA 313229698 (Tel: 9125900973)
Registered at 5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 322240609 (Tel: 9042233321)
Registered at 604 W OGLETHORPE HWY, HINESVILLE, GA 313134415 (Tel: 9129103777)
Registered at 106 DAISY CT, SAVANNAH, GA 314041886 (Tel: 8432602492)
Physician Assistant (license number reported to NPPES: SC 2131)
NPI status registered as active in NPPES database
Registered at 2418 NNPTC CIRCLE, GOOSE CREEK, SC 29445 (Tel: 8435775011)
Registered at 2418 NNPTC CIRCLE, GOOSE CREEK, SC 29445 (Tel: 8435775011)
Recorded as KERRY SHUFFELBOTTOM, PA-C
Physician Assistant (license number reported to NPPES: SC 2131)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Pooler
- Christopher Alden
- Melinda Lavecchia, PA
- Alivia Mcmahan, PA-C
- Samantha Summerlin, PA-C
- Grant Westbrook
- Daniel Orsini, SFIDC
Mailing Address
5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 322240609
Phone: 9042233321