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John K. Clayshulte III, PA-C

NPI 1700033156ActiveIndividual· Physician Assistant· Pueblo, CO

Physician Assistant (PA-C) with Vanguard Medical Specialists, LLC, practicing in Pueblo, Colorado. Their prescriptions cost Medicare Part D more than their services did: $225,343 for 1,835 claims, against $86,996 paid for services in 2024.

Overview

NPI1700033156
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedAug 27, 2008
Last updated in NPPESFeb 3, 2026
Certified by providerFeb 3, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA.0008465CO
Physician Assistant363A00000X60632876WA
Physician Assistant363A00000XPA2014-0058NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (NM)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients706
Services billed3,073 across 44 procedure codes
Paid by Medicare$86,996

Part D prescriptions in 2024

Prescriptions (claims)1,835 · 2,086 30-day fills
Patients615
Total drug cost$225,343
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Pueblo

All 63 physician assistants in Pueblo · All physician assistants in Colorado