Active NPI 1013452002 Individual Practitioner Male Practitioner

Ethan T Shaver , PA

Physician Assistant • Green Bay, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Shaver, PA is a certified Physician Assistant practicing in Green Bay, WI. With approximately 10 years of clinical experience since completing medical education in 2016, Ethan Shaver delivers high-quality medical care to the local community at 1110 KEPLER DR.

Ethan Shaver is affiliated with Baycare Clinic Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1110 Kepler Dr

Green Bay, WI 543118306

Telephone 9202885555

Fax 9202885550

Associated Practice Facility / Clinic

🏢 Baycare Clinic, Llp Facility NPI 1043970817

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Green Bay, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.2 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

183 Specialists

Practicing in Green Bay, WI (3517 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

97.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaver (10 Years) 10 Yrs

Green Bay Specialty Average (11.2 Years) 11.2 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
J1010 Injection, methylprednisolone acetate, 1 mg	8,000	57	$0.70	$0.13
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,856	20	$54.00	$17.40
20610 Aspiration and/or injection of fluid from large joint	206	106	$541.81	$60.58
J1030 Injection, methylprednisolone acetate, 40 mg	80	34	$20.00	$6.35
27447 Replacement of knee joint, both sides of knee	68	58	$10391.60	$157.78
99213 Established patient office or other outpatient visit, typically 15 minutes	57	50	$307.00	$72.75
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	57	18	$491.00	$119.77
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$17566.88	$160.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$441.00	$88.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$446.00	$102.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$191.00	$45.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,696	21	$54.00	$16.74
20610 Aspiration and/or injection of fluid from large joint	209	112	$539.67	$60.72
J1030 Injection, methylprednisolone acetate, 40 mg	126	40	$20.00	$7.30
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	86	25	$491.00	$125.95
99213 Established patient office or other outpatient visit, typically 15 minutes	83	71	$307.00	$73.01
J1040 Injection, methylprednisolone acetate, 80 mg	77	49	$52.00	$11.97
27447 Replacement of knee joint, both sides of knee	58	51	$10550.00	$161.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$446.00	$103.40
27130 Replacement of thigh bone and hip joint with prosthesis	34	33	$15729.82	$160.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$441.00	$84.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$675.00	$134.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,792	27	$54.00	$16.38
20610 Aspiration and/or injection of fluid from large joint	214	116	$519.71	$59.04
J1030 Injection, methylprednisolone acetate, 40 mg	151	51	$19.00	$6.10
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	74	23	$491.00	$130.70
27447 Replacement of knee joint, both sides of knee	56	50	$10423.88	$158.24
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$307.00	$72.35
J1040 Injection, methylprednisolone acetate, 80 mg	54	38	$52.07	$10.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$446.00	$100.97
27130 Replacement of thigh bone and hip joint with prosthesis	31	31	$16748.35	$166.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$191.00	$43.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$675.00	$134.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$441.00	$90.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,568	25	$54.00	$17.96
J1030 Injection, methylprednisolone acetate, 40 mg	210	56	$19.00	$5.61
20610 Aspiration and/or injection of fluid from large joint	178	84	$543.13	$60.33
99213 Established patient office or other outpatient visit, typically 15 minutes	87	72	$307.00	$72.97
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	83	17	$491.00	$124.86
27447 Replacement of knee joint, both sides of knee	46	43	$10241.00	$163.98
27130 Replacement of thigh bone and hip joint with prosthesis	41	40	$15615.00	$160.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$185.00	$45.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$446.00	$106.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$441.00	$88.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,248	21	$54.00	$18.36
J1030 Injection, methylprednisolone acetate, 40 mg	228	68	$19.00	$5.96
20610 Aspiration and/or injection of fluid from large joint	169	91	$527.88	$58.57
64640 Destruction of peripheral nerve or branch	131	40	$1106.00	$137.32
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	79	21	$491.00	$139.00
99213 Established patient office or other outpatient visit, typically 15 minutes	75	70	$301.00	$59.57
27447 Replacement of knee joint, both sides of knee	47	45	$10241.00	$169.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$182.00	$37.40
27130 Replacement of thigh bone and hip joint with prosthesis	32	31	$15615.00	$165.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$441.00	$88.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	225	67	$19.00	$6.11
20610 Aspiration and/or injection of fluid from large joint	152	79	$527.45	$52.83
99213 Established patient office or other outpatient visit, typically 15 minutes	83	68	$285.00	$57.56
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	74	19	$491.00	$128.57
64640 Destruction of peripheral nerve or branch	71	21	$1106.00	$70.42
27130 Replacement of thigh bone and hip joint with prosthesis	33	33	$15615.00	$170.29
27447 Replacement of knee joint, both sides of knee	28	26	$10241.00	$160.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$175.00	$36.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$420.00	$82.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	199	61	$18.00	$6.50
20610 Aspiration and/or injection of fluid from large joint	101	70	$529.19	$52.97
64640 Destruction of peripheral nerve or branch	80	26	$1106.00	$71.84
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$267.00	$57.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	26	$164.00	$35.70
27447 Replacement of knee joint, both sides of knee	31	31	$10040.00	$171.87
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	27	11	$481.00	$126.44
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$15308.00	$164.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$394.00	$79.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	77	28	$17.00	$5.43
20610 Aspiration and/or injection of fluid from large joint	51	37	$513.33	$52.00
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$255.00	$52.28
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	29	13	$471.00	$140.49
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$15007.00	$166.00
27447 Replacement of knee joint, both sides of knee	20	20	$9774.00	$165.60

Medical Specialties & State Licenses

CMS Verified: 2026-05-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Baycare Clinic Llp

1160 Kepler Dr, Green Bay, WI 543118321

Phone: 9202885555

Baycare Clinic Llp

1910 Alabama St, Sturgeon Bay, WI 542353532

Phone: 9207434844

Baycare Clinic Llp

2845 Greenbrier Rd, Green Bay, WI 543116519

Practice Associates & Co-Workers

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

26 Associated Practitioners

Ryan Woods

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1033559877

Sarah Burton , NP

Nurse Practitioner

NPI 1154869667

Nurse Practitioner

Dr. Harold Schock , MD

Orthopaedic Surgery

NPI 1316143787

Doctor of Medicine (M.D.)

Brian Raguse , PA

Physician Assistant

NPI 1316959083

Physician Assistant

Rebecca Jenkins , PA-C

Physician Assistant

NPI 1366780025

Physician Assistant (Certified)

Taylor Root

Physician Assistant

NPI 1396377883

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 19, 2026

Registered at 1110 KEPLER DR, GREEN BAY, WI 543118306 (Tel: 9202885555)

📍

Updated Business Mailing Address April 07, 2022

Registered at 1035 KEPLER DR, GREEN BAY, WI 543118320

✅

NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2016

Registered at 2845 GREENBRIER RD, GREEN BAY, WI 543116519 (Tel: 9202885555)

📍

Updated Business Mailing Address December 29, 2016

Registered at 164 N BROADWAY, GREEN BAY, WI 543032728

👤

Provider Name / Credentials Updated December 29, 2016

Recorded as ETHAN SHAVER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 29, 2016

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: 1013452002

Entity Type:

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

Enumeration Date: December 29, 2016

Last Update: May 19, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1035 Kepler Dr

Green Bay, WI 543118320

Phone: 9204909046

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.