Ethan T. Shaver, PA
NPI 1013452002ActiveIndividual· Physician Assistant· Green Bay, WI
Physician Assistant (PA) with Baycare Clinic LLP, practicing in Green Bay, Wisconsin. In 2024 Medicare paid $65,019 for 245 patients, and Part D covered 1,390 of their prescriptions, 89% of them generic. Zimmer Biomet Holdings, Inc. reported $114.05 in payments in 2024, mostly food and beverage. Lists Aurora Baycare Medical Ctr and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1013452002 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 29, 2016 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 245 |
|---|---|
| Services billed | 10,895 across 30 procedure codes |
| Paid by Medicare | $65,019 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,390 · 1,516 30-day fills |
|---|---|
| Patients | 379 |
| Total drug cost | $51,644 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Baycare Clinic LLPGreen Bay, WI · 200 clinicians
Hospital affiliations
- Aurora Baycare Medical CtrGreen Bay, WI
- Aurora Medical Center Bay AreaMarinette, WI
- Door County Medical CenterSturgeon Bay, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
- 2024$114.05 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $114.05 | 1 |
What the 2024 payments were for
- Food and Beverage$114.05 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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