Shane Martin Wible, MPAS, PA-C
NPI 1013199330ActiveIndividual· Physician Assistant· Fishkill, NY
Physician Assistant (MPAS, PA-C) with Ellenville Emergency Medical Associates PLLC, practicing in Fishkill, New York. 208 Medicare patients in 2024, $23,502 paid; nearly all of their 170 Part D prescriptions were generic (95%). Lists Ellenville Regional Hospital as a hospital affiliation.
Overview
| NPI | 1013199330 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Nov 28, 2007 |
| Last updated in NPPES | Jul 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6792106-1206 | UT |
| Physician Assistant | 363A00000X | PA2013-0029 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 208 |
|---|---|
| Services billed | 333 across 29 procedure codes |
| Paid by Medicare | $23,502 |
Part D prescriptions in 2024
| Prescriptions (claims) | 170 · 170 30-day fills |
|---|---|
| Patients | 126 |
| Total drug cost | $3,082 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ellenville Emergency Medical Associates PLLCEllenville, NY · 8 clinicians
Hospital affiliation
- Ellenville Regional HospitalEllenville, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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