Kerry Kathleen Shuffelbottom, PA-C
NPI 1902102676ActiveIndividual· Physician Assistant· Pooler, GA
Physician Assistant (PA-C) in Pooler, Georgia, licensed in SC, with an NPI issued in January 2011. 183 Medicare patients in 2024, $29,506 paid; nearly all of their 323 Part D prescriptions were generic (95%). Abbvie Inc. reported $71.37 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1902102676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 28, 2011 |
| Last updated in NPPES | Oct 12, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2131 | SC |
| Physician Assistant, Medical | 363AM0700X | 2131 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 183 |
|---|---|
| Services billed | 416 across 19 procedure codes |
| Paid by Medicare | $29,506 |
Part D prescriptions in 2024
| Prescriptions (claims) | 323 · 540 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $17,668 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
- 2025$71.37 · 3 payments from 1 company
- 2024$500.66 · 22 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $71.37 | 3 |
What the 2025 payments were for
- Food and Beverage$71.37 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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