Ariel Shantay Avis Taysom, PA-C
NPI 1609341098ActiveIndividual· Physician Assistant· Malad City, ID
Physician Assistant (PA-C) with Cc Pocatello LLC, practicing in Malad City, Idaho. Their prescriptions cost Medicare Part D more than their services did: $347,399 for 4,034 claims, against $44,913 paid for services in 2024. Abbvie Inc. was the largest of 4 companies reporting payments in 2025, $244.28 in all, mostly food and beverage. Lists Mountain View Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1609341098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2018 |
| Last updated in NPPES | Nov 16, 2021 |
| Certified by provider | Nov 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1656 | ID |
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 | 281 |
|---|---|
| Services billed | 852 across 17 procedure codes |
| Paid by Medicare | $44,913 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,034 · 7,007 30-day fills |
|---|---|
| Patients | 424 |
| Total drug cost | $347,399 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Cc Pocatello LLCPocatello, ID · 7 clinicians
Hospital affiliations
- Mountain View HospitalIdaho Falls, ID
- Portneuf Medical CenterPocatello, ID
Industry payments (Open Payments)
- 2025$244.28 · 17 payments from 4 companies
- 2024$171.10 · 8 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $198.63 | 14 |
| Lundbeck LLC | $17.23 | 1 |
| Vanda Pharmaceuticals Inc. | $14.46 | 1 |
| Boston Scientific Corporation | $13.96 | 1 |
What the 2025 payments were for
- Food and Beverage$244.28 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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