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Everett Lee Shaw , PA-C

Physician Assistant • Decatur, IL

Active NPI 1437444163 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4775 E Maryland St
Decatur, IL 625218820

Call 2178643737 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4775 E Maryland St

Decatur, IL 625218820

Telephone 2178643737
Fax 2178643468
Organization at the Same NPPES Address or Phone
Yates Emergency Physicians Facility NPI 1205874336

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Baptist Health Deaconess Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2001

Medicare patients

118 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $15,800 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.

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 – by Provider and Service, 2024.

Paid by Medicare

About $12,593 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

30-day fills

1,216 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

$14,072 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $64.26 across 3 records.

By nature of payment

  • Food and Beverage: $64.26 across 3 records.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $47.82 across 2 records.
  • Pfizer Inc.: $16.44 across 1 record.

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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Everett Shaw 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Everett Shaw 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Decatur and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Decatur, IL (2024, 20 clinicians with data). Median for this group: 304. Middle half: 92 to 592.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Decatur, IL (2024, 20 clinicians with data). Median for this group: $28,153. Middle half: $10,393 to $46,229.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Decatur, IL (2024, 20 clinicians with data). Median for this group: $20,945. Middle half: $7,721 to $32,863.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Decatur, IL (2024, 25 clinicians with data). Median for this group: 605. Middle half: 113 to 1,715.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Decatur, IL (2024, 25 clinicians with data). Median for this group: $15,590. Middle half: $681 to $114,043.

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

34 active clinicians are listed under Physician Assistant with a practice address in Decatur, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Decatur

14.7% of these 34 clinicians have the CMS telehealth indicator.

61.8% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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

Open Payments · Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $64.26.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $27.32
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $20.50
Pfizer Inc.
Food and Beverage
In-kind items and services
ELIQUIS General $16.44

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
115 113 $773.00 $137.39

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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Lisinopril Lisinopril 68 4,176 $526.47 30
Amlodipine Besylate Amlodipine Besylate 49 3,000 $407.66 26
Tamsulosin Hcl Tamsulosin Hcl 45 1,805 $545.08 16
Levothyroxine Sodium Levothyroxine Sodium 42 2,426 $747.79 23
Atorvastatin Calcium Atorvastatin Calcium 37 2,420 $295.31 23
Metformin Hcl Metformin Hcl 37 2,225 $395.42 19
Metoprolol Succinate Metoprolol Succinate 25 1,350 $156.76 14
Hydrochlorothiazide Hydrochlorothiazide 23 1,830 $83.51 14
Simvastatin Simvastatin 20 1,676 $242.51 14
Pravastatin Sodium Pravastatin Sodium 20 1,740 $423.33 13
Gabapentin Gabapentin 18 900 $344.34 —
Trazodone Hcl Trazodone Hcl 17 990 $129.56 —
Metoprolol Tartrate Metoprolol Tartrate 16 1,104 $87.81 13
Furosemide Furosemide 16 660 $34.44 —
Oxybutynin Chloride Er Oxybutynin Chloride 16 634 $219.57 —
Pantoprazole Sodium Pantoprazole Sodium 16 1,260 $135.70 12
Carvedilol Carvedilol 15 1,290 $104.75 —
Omeprazole Omeprazole 15 1,150 $179.25 13
Albuterol Sulfate Hfa Albuterol Sulfate 15 352 $379.62 —
Glimepiride Glimepiride 14 1,005 $105.23 12
Montelukast Sodium Montelukast Sodium 13 1,050 $92.02 —
Clopidogrel Clopidogrel Bisulfate 12 742 $160.36 —
Fluoxetine Hcl Fluoxetine Hcl 12 460 $378.59 —
Escitalopram Oxalate Escitalopram Oxalate 11 508 $121.93 —
Lovastatin Lovastatin 11 490 $79.39 —

(top 25 shown)

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: 2023-01-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.004037

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medicare Ptan
205790002 (IL)
Other Identifier Nccap National Commission On Certification Of Physician Assistants
1051123

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231206000953

Enrollment State Jurisdiction

KY

PECOS Control ID

6406026806

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Baptist Health Deaconess Medical Group Inc

900 Hospital Dr, Madisonville, KY 424311644

Phone: 2708255918

Baptist Health Deaconess Medical Group Inc

900 Hospital Dr, Madisonville, KY 424311644

Phone: 2708255101

Baptist Health Deaconess Medical Group Inc

800 Hospital Dr, Madisonville, KY 424311658

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Agustin Bello , MD

Family Medicine

NPI 1538480017

Doctor of Medicine (M.D.)

NPI 1851022529

Doctor of Medicine (M.D.)

Micah Hamm , FNP

Nurse Practitioner - Family

NPI 1871127019

Family Nurse Practitioner

Dr. Debra Jackson , MD

Family Medicine

NPI 1942253489

Doctor of Medicine (M.D.)

Dr. Amanda Rubush , MD

Family Medicine

NPI 1447513148

Doctor of Medicine (M.D.)

Amorkor Sogbodjor

Internal Medicine

NPI 1992238760

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location January 17, 2023

Registered at 4775 E MARYLAND ST, DECATUR, IL 625218820 (Tel: 2178643737)

âś…
NPI Profile Active November 19, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 19, 2013

Registered at 517 N MAIN ST, ANNA, IL 629061668 (Tel: 6188334300)

📍
Business Mailing Address (Initial Record) November 19, 2013

Registered at 517 N MAIN ST, ANNA, IL 629061668 (Tel: 6188334300)

👤
Provider Name / Credentials (Initial Record) November 19, 2013

Recorded as EVERETT SHAW, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2013

Physician Assistant (license number reported to NPPES: IL 085.004037)

🟢
Initial NPI Registration & Enumeration June 10, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1437444163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2011
Last Update: January 17, 2023
Sole Proprietor: Yes

Other Physician Assistants in Decatur

All Physician Assistants in Decatur

Mailing Address

517 N Main St

Anna, IL 629061668

Phone: 6188334300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.