Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528632825 Individual Practitioner Male Practitioner

Ian Thomas Shupe , MSPAS, PA-C, RT(R)

Physician Assistant • Medford, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ian Shupe, MSPAS, PA-C, RT(R) is a certified Physician Assistant practicing in Medford, OR. With approximately 6 years of clinical experience since completing medical education in 2020, Ian Shupe delivers high-quality medical care to the local community at 842 E MAIN ST.

Ian Shupe is affiliated with North Idaho Dermatology Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration of fluid from chest cavity using imaging guidance, imaging for evaluation of swallowing function, drainage of fluid from abdominal cavity using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

842 E Main St

Medford, OR 975047155

Telephone 5416185800
Fax 5417793027
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Medford, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
122 Specialists

Practicing in Medford, OR (2106 Statewide)

Telehealth Adoption Rate
23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shupe (6 Years) 6 Yrs
Medford Specialty Average (9.9 Years) 9.9 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
32555 Aspiration of fluid from chest cavity using imaging guidance
39 36 $375.97 $91.56
74230 Imaging for evaluation of swallowing function
31 29 $81.00 $20.59
49083 Drainage of fluid from abdominal cavity using imaging guidance
27 16 $331.00 $83.48
10005 Fine needle aspiration of first lesion using ultrasound guidance
11 11 $230.00 $57.10

Medical Specialties & State Licenses

CMS Verified: 2021-05-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA204375

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA.PA.61159625

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.

Hospital & Practice Group Affiliations

North Idaho Dermatology Inc

619 S Washington St, Moscow, ID 838433063

Phone: 2086657546

Secondary Practice Locations

1910 E Barnett Rd Ste 104

Medford, OR 975048672

Phone: 5419564647

Practice Associates & Co-Workers

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

20 Associated Practitioners
Dr. Roberta Jackson , MD

Radiology - Diagnostic Radiology

NPI 1295798866

Doctor of Medicine (M.D.)

Dr. Michael Fennell , MD

Radiology - Diagnostic Radiology

NPI 1336101690

Doctor of Medicine (M.D.)

Dr. Seth Urban , MD

Radiology - Vascular & Interventional Radiology

NPI 1477895704

Doctor of Medicine (M.D.)

Dr. James Hills , MD

Radiology - Diagnostic Radiology

NPI 1487647905

Doctor of Medicine (M.D.)

Dr. Graham Case , MD

Radiology - Diagnostic Radiology

NPI 1487835237

Doctor of Medicine (M.D.)

Dr. Stephen Cook , MD

Radiology - Diagnostic Radiology

NPI 1548222359

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2021

Registered at 842 E MAIN ST, MEDFORD, OR 975047155 (Tel: 5416185800)

📍
Updated Business Mailing Address May 19, 2021

Registered at 17607 SW FALLING LEAF CT, BEAVERTON, OR 970037558 (Tel: 3609912491)

👤
Provider Name / Credentials Updated May 19, 2021

Recorded as IAN SHUPE, MSPAS, PA-C, RT(R)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Physician Assistant (License #PA.PA.61159625 in WA)

🟢
Initial NPI Registration & Enumeration May 19, 2021

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: 1528632825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2021
Last Update: May 19, 2021
Sole Proprietor: No

Mailing Address

17607 Sw Falling Leaf Ct

Beaverton, OR 970037558

Phone: 3609912491

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.