Shane A. Keck, MPA,PA-C
NPI 1134308067ActiveIndividual· Physician Assistant· Kirkland, WA
Physician Assistant (MPA,PA-C) with Strother Dermatology and Laser Treatment Center PLLC, practicing in Kirkland, Washington. Mostly services rather than prescriptions: Medicare paid $2,745 for 23 patients in 2024, with only 28 Part D claims. E.R. Squibb & Sons, L.L.C. was the largest of 3 companies reporting payments in 2024, $258.08 in all, mostly food and beverage.
Overview
| NPI | 1134308067 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPA,PA-C |
| Sole proprietor | No |
| NPI issued | Oct 27, 2007 |
| Last updated in NPPES | Sep 4, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60021277 | WA |
| Physician Assistant | 363A00000X | 1187 | KS |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 59 across 18 procedure codes |
| Paid by Medicare | $2,745 |
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 33 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $844.77 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Strother Dermatology and Laser Treatment Center PLLCKirkland, WA · 8 clinicians
Industry payments (Open Payments)
- 2024$258.08 · 3 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $203.87 | 1 |
| Genzyme Corporation | $31.32 | 1 |
| Abbvie Inc. | $22.89 | 1 |
What the 2024 payments were for
- Food and Beverage$258.08 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 physician assistants in Kirkland · All physician assistants in Washington