Shannon Lee Johnson, PA-C
NPI 1750566790ActiveIndividual· Physician Assistant· Davenport, IA
Physician Assistant (PA-C) with Genesis Health System, practicing in Davenport, Iowa. Mostly services rather than prescriptions: Medicare paid $6,628 for 80 patients in 2024, with only 42 Part D claims. Stryker Corporation was the largest of 3 companies reporting payments in 2024, $187.31 in all, mostly food and beverage. Lists Genesis Medical Center-Davenport as a hospital affiliation.
Overview
| NPI | 1750566790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 9, 2008 |
| Last updated in NPPES | Oct 12, 2021 |
| Certified by provider | Oct 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 002328 | IA |
| Physician Assistant | 363A00000X | 085003168 | IL |
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 (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 98 across 40 procedure codes |
| Paid by Medicare | $6,628 |
Part D prescriptions in 2024
| Prescriptions (claims) | 42 · 42 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $168.48 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Genesis Health SystemDavenport, IA · 261 clinicians
Hospital affiliation
- Genesis Medical Center-DavenportDavenport, IA
Industry payments (Open Payments)
- 2024$187.31 · 3 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $131.55 | 1 |
| Conmed Corporation | $35.04 | 1 |
| Avita Medical Americas, LLC | $20.72 | 1 |
What the 2024 payments were for
- Food and Beverage$187.31 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Davenport
- 1003542762
- 1023463890
- 1104336924
- 1255989919
- 1265048870
- 1285301143
- 1306572094
- 1457800377
- 1467925149
- 1609409184
- 1679828651
- 1801331426
All 78 physician assistants in Davenport · All physician assistants in Iowa