Shannon Hayes, PA-C
NPI 1730791146ActiveIndividual· Physician Assistant· Dayton, OH
Physician Assistant (PA-C) with Kettering Independent Medical Group Inc, practicing in Dayton, Ohio. In 2024 Medicare paid $9,566 for 132 patients, and Part D covered 195 of their prescriptions, 89% of them generic. Lists Kettering Health Dayton and 1 other hospital as hospital affiliations.
Overview
| NPI | 1730791146 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 18, 2020 |
| Last updated in NPPES | Nov 12, 2024 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.006576RX | OH |
| Physician Assistant, Medical | 363AM0700X | 50.006576RX | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 152 across 6 procedure codes |
| Paid by Medicare | $9,566 |
Part D prescriptions in 2024
| Prescriptions (claims) | 195 · 210 30-day fills |
|---|---|
| Patients | 118 |
| Total drug cost | $8,624 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Kettering Independent Medical Group IncXenia, OH · 710 clinicians
Hospital affiliations
- Kettering Health DaytonDayton, OH
- Kettering Health Main CampusKettering, OH
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 Dayton
- 1013288364
- 1013506179
- 1013621952
- 1023255387
- 1063937233
- 1073885216
- 1073950895
- 1104197318
- 1104201730
- 1104602838
- 1114577103
- 1144566613
All 251 physician assistants in Dayton · All physician assistants in Ohio