Kanwon Shaw, PA-C
NPI 1477170546ActiveIndividual· Physician Assistant· Hudson, MA
Physician Assistant (PA-C) with Afc Physicians of Massachusetts, PC, practicing in Hudson, Massachusetts. Their prescriptions cost Medicare Part D more than their services did: $4,987 for 171 claims, against $1,019 paid for services in 2024. Lists Umass Memorial Medical Center/University Campus as a hospital affiliation.
Overview
| NPI | 1477170546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 6, 2020 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9339 | MA |
| Internal Medicine | 207R00000X | PA9338 | MA |
| Physician Assistant | 363A00000X | — | — |
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 - Physician Assistant (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 18 across 9 procedure codes |
| Paid by Medicare | $1,019 |
Part D prescriptions in 2024
| Prescriptions (claims) | 171 · 182 30-day fills |
|---|---|
| Patients | 137 |
| Total drug cost | $4,987 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Afc Physicians of Massachusetts, PCWest Springfield, MA · 56 clinicians
Hospital affiliation
- Umass Memorial Medical Center/University CampusWorcester, MA
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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