Paul Anthony Shakstad Jr., PA-C
NPI 1568974632ActiveIndividual· Physician Assistant· Sierra Vista, AZ
Physician Assistant (PA-C) in Sierra Vista, Arizona, licensed in ID and AZ, with an NPI issued in October 2017. 190 Medicare patients in 2024, $19,471 paid; nearly all of their 274 Part D prescriptions were generic (96%).
Overview
| NPI | 1568974632 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 30, 2017 |
| Last updated in NPPES | Aug 21, 2023 |
| Certified by provider | Aug 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-2570 | ID |
| Physician Assistant | 363A00000X | 6821 | AZ |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 190 |
|---|---|
| Services billed | 289 across 13 procedure codes |
| Paid by Medicare | $19,471 |
Part D prescriptions in 2024
| Prescriptions (claims) | 274 · 276 30-day fills |
|---|---|
| Patients | 177 |
| Total drug cost | $3,852 |
| Generic share | 96% of claims |
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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