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Active NPI 1003286709 Individual Practitioner Male Practitioner

Shane Travis Kiser , PA-C

Physician Assistant • Olive Hill, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Kiser, PA-C is a certified Physician Assistant practicing in Olive Hill, KY. With approximately 11 years of clinical experience since completing medical education in 2015, Shane Kiser delivers high-quality medical care to the local community at 250 KISER CEM RD.

Shane Kiser is affiliated with Kings Daughters Medical Specialties Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, simple bladder irrigation and/or instillation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 Kiser Cem Rd

Olive Hill, KY 411649809

Telephone 6067805500
Fax 6067837281
Associated Practice Facility / Clinic
🏢 St Claire Medical Center, Inc Facility NPI 1558383885

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Olive Hill, KY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs Matches City Avg
City Avg: 11.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Olive Hill, KY (1973 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kiser (11 Years) 11 Yrs
Olive Hill Specialty Average (11.0 Years) 11.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
587 464 $157.17 $79.16
81003 Automated urinalysis test
540 429 $7.00 $2.18
99213 Established patient office or other outpatient visit, typically 15 minutes
237 213 $108.89 $56.58
51700 Simple bladder irrigation and/or instillation
39 32 $87.00 $29.86
51798 Ultrasound measurement of bladder capacity after voiding
18 17 $28.00 $9.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $285.73 $112.46

Medical Specialties & State Licenses

CMS Verified: 2025-10-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA2034

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

Medicaid State Provider ID
7100394790 (KY)
Commercial Insurance / Payer ID Ky Medical License
PA2034 (KY)

Hospital & Practice Group Affiliations

Kings Daughters Medical Specialties Inc

398 Diederich Blvd, Ashland, KY 411017008

Phone: 6063242055

Kings Daughters Medical Specialties Inc

100 Bellefonte Dr, Grayson, KY 411431820

Phone: 6063299335

Kings Daughters Medical Specialties Inc

2201 Lexington Ave, Ashland, KY 411012843

Phone: 6064084000

Practice Associates & Co-Workers

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

36 Associated Practitioners
Marsha Wall , PA-C

Physician Assistant

NPI 1053660688

Physician Assistant (Certified)

NPI 1063943074

Doctor of Medicine (M.D.)

Hayley Hill , PA-C

Physician Assistant

NPI 1144114687

Physician Assistant (Certified)

Ayita Ray

Internal Medicine - Interventional Cardiology

NPI 1154847945
Ashley Fay , PA-C

Physician Assistant

NPI 1184976904

Physician Assistant (Certified)

Dr. Indu Shivaram , MD

Internal Medicine

NPI 1194817619

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 10, 2025

Registered at 250 KISER CEM RD, OLIVE HILL, KY 411649809 (Tel: 6067805500)

📍
Updated Business Mailing Address October 10, 2025

Registered at 250 KISER CEM RD, OLIVE HILL, KY 411649809 (Tel: 6067805500)

📍
Updated Practice Location July 31, 2019

Registered at 245 FLEMINGSBURG RD, MOREHEAD, KY 403511015 (Tel: 6067805500)

📍
Updated Business Mailing Address July 31, 2019

Registered at 245 FLEMINGSBURG RD, MOREHEAD, KY 403511015 (Tel: 6067805500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Physician Assistant (License #PA2034 in KY)

NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2015

Registered at 10650 US ROUTE 60, ASHLAND, KY 411029611 (Tel: 6064086301)

📍
Updated Business Mailing Address October 07, 2015

Registered at PO BOX 1595, ASHLAND, KY 411051595 (Tel: 6064086200)

👤
Provider Name / Credentials Updated October 07, 2015

Recorded as SHANE KISER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Physician Assistant (License #TC427 in KY)

🟢
Initial NPI Registration & Enumeration October 07, 2015

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: 1003286709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2015
Last Update: October 10, 2025
Sole Proprietor: No

Mailing Address

250 Kiser Cem Rd

Olive Hill, KY 411649809

Phone: 6067805500

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.