Jacob Daniel Shirley, PA
NPI 1992463970ActiveIndividual· Physician Assistant· Longmont, CO
Physician Assistant (PA) with Poudre Valley Medical Group LLC, practicing in Longmont, Colorado. Their prescriptions cost Medicare Part D more than their services did: $96,226 for 361 claims, against $7,028 paid for services in 2024. Madrigal Pharmaceuticals was the largest of 4 companies reporting payments in 2024, $105.94 in all, mostly food and beverage. Lists Longs Peak Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1992463970 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 7, 2021 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0009178 | CO |
| Physician Assistant | 363A00000X | PA1128 | WY |
| Physician Assistant | 363A00000X | PA-2185 | ID |
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 (CO); Practitioner - Physician Assistant (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 96 across 9 procedure codes |
| Paid by Medicare | $7,028 |
Part D prescriptions in 2024
| Prescriptions (claims) | 361 · 623 30-day fills |
|---|---|
| Patients | 158 |
| Total drug cost | $96,226 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliations
- Longs Peak HospitalLongmont, CO
- Medical Center of the RockiesLoveland, CO
- Uchealth Broomfield HospitalBroomfield, CO
- University of Colorado Hospital AuthorityAurora, CO
Industry payments (Open Payments)
- 2024$105.94 · 5 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $49.30 | 2 |
| Takeda Pharmaceuticals U.S.A., Inc. | $20.19 | 1 |
| Boston Scientific Corporation | $18.28 | 1 |
| Celgene Corporation | $18.17 | 1 |
What the 2024 payments were for
- Food and Beverage$105.94 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 92 physician assistants in Longmont · All physician assistants in Colorado