Shane Alan Daugherty
NPI 1154902096ActiveIndividual· Urology· Meadville, PA
Urology in Meadville, Pennsylvania, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2021). Part D covered 84 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1154902096 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2021 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | OS026090 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Urology (PA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 84 · 90 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $478.38 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Urology |
Medical group
- Meadville Medical CenterMeadville, PA · 143 clinicians
Hospital affiliation
- Meadville Medical CenterMeadville, PA
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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