Shannon K. Hailey, PA-C
NPI 1336420561ActiveIndividual· Physician Assistant, Surgical· Overland Park, KS
Physician Assistant, Surgical (PA-C) with Dickson Diveley Midwest Orthopaedic Clinic LLC, practicing in Overland Park, Kansas. 154 Medicare patients in 2024, $28,100 paid; all of their 277 Part D prescriptions were generic. Lists Adventhealth Shawnee Mission and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1336420561 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 1, 2011 |
| Last updated in NPPES | Oct 3, 2022 |
| Certified by provider | Oct 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 15-01479 | KS |
| Physician Assistant, Surgical | 363AS0400X | 2015010264 | MO |
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 (KS); Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 154 |
|---|---|
| Services billed | 6,866 across 40 procedure codes |
| Paid by Medicare | $28,100 |
Part D prescriptions in 2024
| Prescriptions (claims) | 277 · 277 30-day fills |
|---|---|
| Patients | 144 |
| Total drug cost | $2,504 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Dickson Diveley Midwest Orthopaedic Clinic LLCOverland Park, KS · 68 clinicians
Hospital affiliations
- Adventhealth Shawnee MissionShawnee Mission, KS
- Kansas City Orthopaedic InstituteLeawood, KS
- St Joseph Medical CenterKansas City, MO
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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