Shane A. Cordrey
NPI 1508222084ActiveIndividual· Physician Assistant· Temecula, CA
Physician Assistant with Omar Osman Practice, LLC, practicing in Temecula, California. 128 Medicare patients in 2024, $27,058 paid; nearly all of their 505 Part D prescriptions were generic (91%). Abbott Laboratories reported $16.88 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1508222084 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 13, 2016 |
| Last updated in NPPES | Feb 20, 2020 |
| Certified by provider | Feb 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 54923 | CA |
| Physician Assistant, Medical | 363AM0700X | 2936 | TN |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 372 across 12 procedure codes |
| Paid by Medicare | $27,058 |
Part D prescriptions in 2024
| Prescriptions (claims) | 505 · 540 30-day fills |
|---|---|
| Patients | 243 |
| Total drug cost | $27,331 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Omar Osman Practice, LLCFresno, CA · 48 clinicians
Industry payments (Open Payments)
- 2024$16.88 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $16.88 | 1 |
What the 2024 payments were for
- Food and Beverage$16.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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