Active NPI 1437444163 Individual Practitioner Male Practitioner

Everett Lee Shaw , PA-C

Physician Assistant • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Everett Shaw, PA-C is a certified Physician Assistant practicing in Decatur, IL. With approximately 25 years of clinical experience since completing medical education in 2001, Everett Shaw delivers high-quality medical care to the local community at 4775 E MARYLAND ST.

Everett Shaw is affiliated with Baptist Health Deaconess Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4775 E Maryland St

Decatur, IL 625218820

Telephone 2178643737

Fax 2178643468

Associated Practice Facility / Clinic

🏢 Anna Home Care Services Llc Facility NPI 1336129642

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Decatur, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +11.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

34 Specialists

Practicing in Decatur, IL (4958 Statewide)

Telehealth Adoption Rate

14.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (25 Years) 25 Yrs

Decatur Specialty Average (13.5 Years) 13.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	113	$773.00	$137.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	206	$239.41	$81.84
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$162.25	$55.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$354.30	$112.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	481	225	$232.69	$81.48
99213 Established patient office or other outpatient visit, typically 15 minutes	112	83	$157.76	$55.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$92.63	$30.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	159	$225.68	$84.68
99213 Established patient office or other outpatient visit, typically 15 minutes	83	66	$152.96	$57.62
99441 Telephone medical discussion with physician, 5-10 minutes	24	20	$62.25	$30.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$338.00	$116.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$89.75	$30.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	97	$220.50	$67.82
99213 Established patient office or other outpatient visit, typically 15 minutes	139	89	$149.09	$44.10
99442 Telephone medical discussion with physician, 11-20 minutes	59	41	$111.02	$43.86
99441 Telephone medical discussion with physician, 5-10 minutes	17	16	$60.94	$22.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	162	$138.98	$43.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	82	$208.17	$66.87
99495 Transitional care management services for problem of at least moderate complexity	16	13	$382.25	$93.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	226	$127.58	$43.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	122	$196.48	$65.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	91	$112.48	$42.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	51	$169.77	$65.74

Medical Specialties & State Licenses

CMS Verified: 2023-01-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.004037

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

205790002 (IL)

Commercial Insurance / Payer ID Nccap National Commission On Certification Of Physician Assistants

1051123

Hospital & Practice Group Affiliations

Baptist Health Deaconess Medical Group Inc

900 Hospital Dr, Madisonville, KY 424311644

Phone: 2708255918

Baptist Health Deaconess Medical Group Inc

900 Hospital Dr, Madisonville, KY 424311644

Phone: 2708255101

Baptist Health Deaconess Medical Group Inc

800 Hospital Dr, Madisonville, KY 424311658

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Amanda Rubush , MD

Family Medicine

NPI 1447513148

Doctor of Medicine (M.D.)

Dr. Agustin Bello , MD

Family Medicine

NPI 1538480017

Doctor of Medicine (M.D.)

Dr. Ardelle Estoesta , MD

Family Medicine

NPI 1851022529

Doctor of Medicine (M.D.)

Micah Hamm , FNP

Nurse Practitioner - Family

NPI 1871127019

Family Nurse Practitioner

Dr. Debra Jackson , MD

Family Medicine

NPI 1942253489

Doctor of Medicine (M.D.)

Amorkor Sogbodjor

Internal Medicine

NPI 1992238760

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location January 17, 2023

Registered at 4775 E MARYLAND ST, DECATUR, IL 625218820 (Tel: 2178643737)

✅

NPI Profile Active November 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 19, 2013

Registered at 517 N MAIN ST, ANNA, IL 629061668 (Tel: 6188334300)

📍

Updated Business Mailing Address November 19, 2013

Registered at 517 N MAIN ST, ANNA, IL 629061668 (Tel: 6188334300)

👤

Provider Name / Credentials Updated November 19, 2013

Recorded as EVERETT SHAW, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2013

Physician Assistant (License #085.004037 in IL)

🟢

Initial NPI Registration & Enumeration June 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437444163

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2011

Last Update: January 17, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

517 N Main St

Anna, IL 629061668

Phone: 6188334300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.