Courtney Nicole Shaffer, PA-C
NPI 1093209041ActiveIndividual· Physician Assistant, Surgical· Kokomo, IN
Physician Assistant, Surgical (PA-C) with St Vincent Medical Group Inc, practicing in Kokomo, Indiana. Their prescriptions cost Medicare Part D more than their services did: $3,175 for 428 claims, against $716.86 paid for services in 2024. Ossur Americas, Inc. reported $17.59 in payments in 2024, mostly food and beverage. Lists Ascension St Vincent Kokomo as a hospital affiliation.
Overview
| NPI | 1093209041 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 21, 2018 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Aug 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 10002483A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 38 across 11 procedure codes |
| Paid by Medicare | $716.86 |
Part D prescriptions in 2024
| Prescriptions (claims) | 428 · 428 30-day fills |
|---|---|
| Patients | 211 |
| Total drug cost | $3,175 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Vincent Medical Group IncCarmel, IN · 736 clinicians
Hospital affiliation
- Ascension St Vincent KokomoKokomo, IN
Industry payments (Open Payments)
- 2024$17.59 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ossur Americas, Inc. | $17.59 | 1 |
What the 2024 payments were for
- Food and Beverage$17.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Kokomo
- 1285478511