Megan Shiroma, PA
NPI 1841736386ActiveIndividual· Physician Assistant· Cerritos, CA
Physician Assistant (PA) with Vital Rheumatology PLLC, practicing in Cerritos, California. Their prescriptions cost Medicare Part D more than their services did: $135,899 for 252 claims, against $9,548 paid for services in 2024. Amgen Inc. was the largest of 17 companies reporting payments in 2025, $3,476 in all, mostly food and beverage.
Overview
| NPI | 1841736386 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 9, 2017 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA10956 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 792 across 15 procedure codes |
| Paid by Medicare | $9,548 |
Part D prescriptions in 2024
| Prescriptions (claims) | 252 · 432 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $135,899 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Vital Rheumatology PLLCAustin, TX · 3 clinicians
Industry payments (Open Payments)
- 2025$3,476 · 129 payments from 17 companies
- 2024$3,420 · 154 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $904.64 | 22 |
| Abbvie Inc. | $798.16 | 45 |
| Janssen Biotech, Inc. | $546.36 | 9 |
| Novartis Pharmaceuticals Corporation | $232.19 | 17 |
| Ucb, Inc. | $195.59 | 8 |
What the 2025 payments were for
- Food and Beverage$3,319 · 127 payments
- Education$156.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 physician assistants in Cerritos · All physician assistants in California