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Kyle Shafer

Physician Assistant • Ilwaco, WA

Active NPI 1376172775 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

176 1st Ave N
Ilwaco, WA 986249137

Call 3606423747 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

176 1st Ave N

Ilwaco, WA 986249137

Telephone 3606423747
Organization at the Same NPPES Address or Phone
Public Hospital District 3 Of Pacific County Facility NPI 1417482191

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: Public Hospital District 3 Of Pacific County. 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

2020

30-day fills

7,814 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

$257,273 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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $12.51 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 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

2020

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)

Kyle Shafer 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 Kyle Shafer 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 Ilwaco and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Too few clinicians listed under Physician Assistant in Ilwaco have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

Too few clinicians listed under Physician Assistant in Ilwaco have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Physician Assistant with a practice address in Ilwaco, WA (3,718 in Washington).

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

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), 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 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $12.51.

Manufacturer Payment Nature Product Type Amount ($)
Organon LLC
Food and Beverage
In-kind items and services
NEXPLANON General $12.51

Source: CMS Open Payments, program year 2023, released June 30, 2026.

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
Atorvastatin Calcium Atorvastatin Calcium 372 27,674 $3,762.66 126
Losartan Potassium Losartan Potassium 259 17,450 $2,505.72 77
Amlodipine Besylate Amlodipine Besylate 202 15,258 $1,435.58 64
Lisinopril Lisinopril 198 15,164 $1,383.03 67
Levothyroxine Sodium Levothyroxine Sodium 146 11,545 $2,381.88 49
Gabapentin Gabapentin 141 5,619 $2,038.36 35
Metoprolol Succinate Metoprolol Succinate 118 7,860 $1,910.94 34
Metformin Hcl Er Metformin Hcl 99 5,755 $993.90 31
Sertraline Hcl Sertraline Hcl 91 5,264 $577.96 23
Omeprazole Omeprazole 91 5,709 $1,126.13 30
Trazodone Hcl Trazodone Hcl 87 4,080 $564.02 26
Rosuvastatin Calcium Rosuvastatin Calcium 80 5,580 $1,206.65 24
Metformin Hcl Metformin Hcl 73 5,400 $560.95 21
Hydrochlorothiazide Hydrochlorothiazide 67 4,330 $224.15 17
Eliquis Apixaban 66 2,460 $51,617.44 13
Tramadol Hcl Tramadol Hcl 61 896 $733.60 11
Duloxetine Hcl Duloxetine Hcl 61 3,600 $1,552.37 21
Jardiance Empagliflozin 58 2,940 $53,281.87 14
Pantoprazole Sodium Pantoprazole Sodium 52 4,080 $682.84 18
Tamsulosin Hcl Tamsulosin Hcl 52 4,440 $920.23 22
Glipizide Er Glipizide 42 2,876 $638.40 12
Venlafaxine Hcl Er Venlafaxine Hcl 41 2,490 $541.47 —
Simvastatin Simvastatin 40 2,910 $216.97 11
Alendronate Sodium Alendronate Sodium 40 2,260 $2,320.93 14
Montelukast Sodium Montelukast Sodium 39 2,709 $394.65 13

(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: 2020-07-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA 61076997

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

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

I20200807001391

Enrollment State Jurisdiction

WA

PECOS Control ID

7315364585

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

Public Hospital District 3 Of Pacific County

1501 Bay Ave, Ocean Park, WA 986404203

Phone: 3606423181

Public Hospital District 3 Of Pacific County

21 N Valley Rd, Naselle, WA 986388536

Phone: 3604847161

Clinicians Sharing This Practice Address or Phone

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

8 listed
Steven Bellinger , PA-C

Physician Assistant

NPI 1558356055

Physician Assistant (Certified)

Dr. Albert Fabiano , MD

Internal Medicine

NPI 1912992405

Doctor of Medicine (M.D.)

Nikki Hartley-Jonason , FNP

Nurse Practitioner - Family

NPI 1114351848

Family Nurse Practitioner

Anya Holmquist , NP

Nurse Practitioner

NPI 1952809808

Nurse Practitioner

Dr. Ivan Law , MD

Internal Medicine - Hematology & Oncology

NPI 1720260441

Doctor of Medicine (M.D.)

Shannon Marsh , APRN

Clinical Nurse Specialist - Family Health

NPI 1114339389

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 22, 2020

Registered at 176 1ST AVE N, ILWACO, WA 986249137 (Tel: 3606423747)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2020

Physician Assistant (license number reported to NPPES: WA 61076997)

✅
NPI Profile Active April 07, 2020

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 07, 2020

Registered at 35585 BELLA RIDGE LOOP, ASTORIA, OR 971036630 (Tel: 3609752979)

📍
Business Mailing Address (Initial Record) April 07, 2020

Registered at 35585 BELLA RIDGE LOOP, ASTORIA, OR 971036630

👤
Provider Name / Credentials (Initial Record) April 07, 2020

Recorded as KYLE SHAFER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376172775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2020
Last Update: July 22, 2020
Sole Proprietor: No

Mailing Address

35585 Bella Ridge Loop

Astoria, OR 971036630

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.