Joy Feliz Shear
Physician Assistant โข Elko, NV
1501 Lamoille Hwy
Elko, NV 898014321
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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NPI assigned on April 2, 2024; this date does not establish years in practice.
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Published CMS data list 523 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: 116 service units.
- J0696 โ Injection, ceftriaxone sodium, per 250 mg: 74 service units.
- 99215 โ Established patient outpatient office visit: 54 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 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 305 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:
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 34 prescription fills, including refills.
- Levothyroxine Sodium โ 33 prescription fills, including refills.
- Lisinopril โ 28 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 15 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 Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
Practice Location & Contact Primary Location
1501 Lamoille Hwy
Elko, NV 898014321
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Aems; Medallus And Vacharothone Ltd. 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
2023
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
123 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 $28,056 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 $21,095 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
652 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
$4,063 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
3 years (graduated 2023)
CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2024
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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)
Joy Shear 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 Joy Shear 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 Elko and Nevada
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 Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.
Too few clinicians listed under Physician Assistant in Elko have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $19,039. Middle half: $8,218 to $51,606.
Too few clinicians listed under Physician Assistant in Elko have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $14,357. Middle half: $5,921 to $37,821.
Too few clinicians listed under Physician Assistant in Elko have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: 324. Middle half: 94 to 1,300.
Too few clinicians listed under Physician Assistant in Elko have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: $7,774. Middle half: $876 to $106,842.
Too few clinicians listed under Physician Assistant in Elko have Medicare Part D data for 2024 to compare.
15 active clinicians are listed under Physician Assistant with a practice address in Elko, NV (1,084 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Elko
0% of these 15 clinicians have the CMS telehealth indicator.
53.3% of these 15 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
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2024 only.
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30-day fills
CMS data for 30-day fills are available for 2024 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 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 โ by Provider and Service data, 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 |
|---|---|---|---|---|
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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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116 | 77 | $190.82 | $106.76 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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74 | 14 | $20.00 | $0.44 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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54 | 39 | $266.93 | $150.01 |
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36415
Insertion of needle into vein for collection of blood sample
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52 | 42 | $28.00 | $8.50 |
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96372
Injection of drug or substance under skin or into muscle
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46 | 30 | $23.17 | $11.78 |
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83036
Hemoglobin a1c level
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32 | 24 | $19.00 | $9.52 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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28 | 25 | $41.00 | $16.20 |
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81003
Automated urinalysis test
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22 | 18 | $14.00 | $2.20 |
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82043
Urine microalbumin (protein) level
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21 | 18 | $15.00 | $5.66 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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20 | 20 | $249.00 | $139.36 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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19 | 19 | $95.00 | $68.88 |
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94640
Inhalation treatment for airway obstruction or sputum production
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14 | 12 | $12.00 | $6.65 |
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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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14 | 14 | $136.00 | $75.68 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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11 | 11 | $100.00 | $34.62 |
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 |
|---|---|---|---|---|---|
| Albuterol Sulfate Hfa | Albuterol Sulfate | 34 | 784 | $788.34 | 22 |
| Levothyroxine Sodium | Levothyroxine Sodium | 33 | 2,492 | $252.08 | 14 |
| Lisinopril | Lisinopril | 28 | 2,235 | $195.91 | 16 |
| Atorvastatin Calcium | Atorvastatin Calcium | 28 | 2,460 | $295.52 | 15 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 25 | 2,071 | $890.57 | 13 |
| Metformin Hcl | Metformin Hcl | 24 | 1,440 | $74.66 | โ |
| Losartan Potassium | Losartan Potassium | 19 | 1,651 | $199.86 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 142 | $150.01 | 19 |
| Prednisone | Prednisone | 18 | 90 | $28.86 | 15 |
| Trazodone Hcl | Trazodone Hcl | 16 | 1,260 | $173.49 | โ |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | 680 | $318.28 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | 825 | $172.90 | โ |
| Fluticasone Propionate | Fluticasone Propionate | 11 | 478 | $87.58 | โ |
| Omeprazole | Omeprazole | 11 | 810 | $176.51 | โ |
| Terbinafine Hcl | Terbinafine Hcl | 11 | 868 | $258.77 | 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: 2025-03-19NUCC 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: 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20240620000046
NV
2961945837
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
Aems
2511 Mountain City Hwy, Elko, NV 898014496
Phone: 7759932800
Aems
250 Country Club Pkwy, Spring Creek, NV 898155830
Aems
250 Country Club Pkwy, Spring Creek, NV 898155830
Phone: 7757383000
Medallus And Vacharothone Ltd
1501 Lamoille Hwy, Elko, NV 898014321
Phone: 8012601919
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Therapist
Doctor of Physical Therapy
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 10433 S REDWOOD RD STE 2, SOUTH JORDAN, UT 840958502 (Tel: 8012601919)
Physician Assistant (license number reported to NPPES: NV PA3032)
NPI status registered as active in NPPES database
Registered at 1501 LAMOILLE HWY, ELKO, NV 898014321 (Tel: 4357732621)
Registered at 1501 LAMOILLE HWY, ELKO, NV 898014321 (Tel: 4357732621)
Recorded as JOY SHEAR
Physician Assistant (license number reported to NPPES: UT 136844501206)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Elko
- Michael Blythe, PA-C
- Spencer Davis
- J Allen, PA-C
- Chelsey Blythe, PA-C
- James Albitre, PA-C
- John Ziebarth, PA
Mailing Address
10433 S Redwood Rd Ste 2
South Jordan, UT 840958502
Phone: 8012601919