Shadoe M. Daniels, MPAS, PA-C
NPI 1215596317ActiveIndividual· Physician Assistant, Medical· Callicoon, NY
Physician Assistant, Medical (MPAS, PA-C) with Wishek Hospital-Clinic Association and 1 other group, practicing in Callicoon, New York. 142 Medicare patients in 2024, $18,993 paid; nearly all of their 298 Part D prescriptions were generic (94%). Kerecis Limited reported $18.52 in payments in 2025, mostly food and beverage. Lists Cooperstown Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1215596317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Jun 12, 2019 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 024896 | NY |
| Physician Assistant, Medical | 363AM0700X | PAC0965 | ND |
| Physician Assistant, Medical | 363AM0700X | MA060726 | PA |
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 (ND); Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 142 |
|---|---|
| Services billed | 228 across 26 procedure codes |
| Paid by Medicare | $18,993 |
Part D prescriptions in 2024
| Prescriptions (claims) | 298 · 306 30-day fills |
|---|---|
| Patients | 149 |
| Total drug cost | $10,499 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Wishek Hospital-Clinic AssociationWishek, ND · 18 clinicians
- Cooperstown Medical CenterCooperstown, ND · 13 clinicians
Hospital affiliations
- Cooperstown Medical CenterCooperstown, ND
- South Central HealthWishek, ND
Industry payments (Open Payments)
- 2025$18.52 · 1 payment from 1 company
- 2024$16.12 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $18.52 | 1 |
What the 2025 payments were for
- Food and Beverage$18.52 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Callicoon
- 1306138797