Shane Lee Graham, PA-C
NPI 1376762104ActiveIndividual· Physician Assistant, Medical· Bozeman, MT
Physician Assistant, Medical (PA-C) with Bozeman Health Deaconess Hospital and 1 other group, practicing in Bozeman, Montana. In 2024 Medicare paid $5,414 for 113 patients, and Part D covered 89 of their prescriptions, 84% of them generic. Lists Bozeman Health Deaconess Hospital as a hospital affiliation.
Overview
| NPI | 1376762104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 24, 2007 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | MED-PAC-LIC-623 | MT |
| Physician Assistant | 363A00000X | 623 | MT |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 129 across 14 procedure codes |
| Paid by Medicare | $5,414 |
Part D prescriptions in 2024
| Prescriptions (claims) | 89 · 89 30-day fills |
|---|---|
| Patients | 68 |
| Total drug cost | $1,567 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Bozeman Health Deaconess HospitalBozeman, MT · 320 clinicians
- Bozeman Health Urgent CareBozeman, MT · 18 clinicians
Hospital affiliation
- Bozeman Health Deaconess HospitalBozeman, MT
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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All 59 physician assistants in Bozeman · All physician assistants in Montana