Provider Profile

Stag B. Shadduck

Unclaimed Profile

About Stag Shadduck

Listed in the NPI registry as a physician assistant, Stag B. Shadduck practices in Edgewood, KY. According to Medicare claims data, Stag cared for 187 Medicare patients across 208 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, treatment of broken neck of thigh bone with bone implant, and x-ray of ankle, minimum of 3 views.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2021

Specialty

Physician Assistant (Primary)

Credentials & Licensing

KY licenseTC072
NPI1962093674
NPI issued01/27/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Stag B. Shadduck?

Stag B. Shadduck is a physician assistant in Edgewood, KY. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Stag B. Shadduck's address?

Stag B. Shadduck is listed at 560 S Loop Rd, Edgewood, KY 41017. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Stag B. Shadduck?

The number on file is (859) 301-2663. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Stag B. Shadduck's NPI number?

Stag B. Shadduck's National Provider Identifier is 1962093674. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Stag B. Shadduck train?

Stag B. Shadduck attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Stag B. Shadduck been practicing?

Stag B. Shadduck has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

What procedures does Stag B. Shadduck perform?

According to Medicare billing data, Stag B. Shadduck performs procedures including treatment of broken neck of thigh bone with bone implant and treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement; reads or performs imaging such as x-ray of ankle, minimum of 3 views and x-ray of foot, minimum of 3 views, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Stag B. Shadduck confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Stag B. Shadduck. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.