Shane Wilburn, PA-C
NPI 1669178075ActiveIndividual· Physician Assistant· Summerville, SC
Physician Assistant (PA-C) with Palmetto Primary Care Physicians LLC and 1 other group, practicing in Summerville, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $171,280 for 1,787 claims, against $33,694 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 9 companies reporting payments in 2025, $674.86 in all, mostly food and beverage. Lists Roper Hospital as a hospital affiliation.
Overview
| NPI | 1669178075 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Feb 7, 2023 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 1,004 across 42 procedure codes |
| Paid by Medicare | $33,694 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,787 · 2,882 30-day fills |
|---|---|
| Patients | 332 |
| Total drug cost | $171,280 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Palmetto Primary Care Physicians LLCSaint George, SC · 144 clinicians
- Carolina Grace CounselingSummerville, SC · 4 clinicians
Hospital affiliation
- Roper HospitalCharleston, SC
Industry payments (Open Payments)
- 2025$674.86 · 31 payments from 9 companies
- 2024$1,105 · 65 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $231.01 | 10 |
| Amgen Inc. | $116.04 | 6 |
| Novo Nordisk Inc | $87.02 | 4 |
| Pfizer Inc. | $66.09 | 3 |
| Corcept Therapeutics | $49.00 | 2 |
What the 2025 payments were for
- Food and Beverage$674.86 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 79 physician assistants in Summerville · All physician assistants in South Carolina