Doctor profile · Federal record
Dr. Stag Shadduck
Physician Assistant · Edgewood, KY
- NPI 1962093674
- Accepts Medicare
- MIPS 90.4 / 100 · 2023
- 5 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
560 S Loop RD
Edgewood, KY 410173405
(859) 301-2663
fax (859) 817-7848
Credentials & registration
- NPI registered
- January 2021 — 5 yrs on file
- Profile last updated
- August 18, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Kentucky #TC072
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962093674. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
186
Distinct HCPCS
8
Medicare allowed
$17,357
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 43 | 43 | $90 | |
27245 |
Treatment of broken neck of thigh bone with bone implant | 36 | 35 | $154 | |
73610 |
X-ray of ankle, minimum of 3 views | 27 | 26 | $30 | |
27236 |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 19 | 18 | $151 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $132 | |
73630 |
X-ray of foot, minimum of 3 views | 16 | 14 | $26 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $71 | |
73620 |
X-ray of foot, 2 views | 11 | 11 | $26 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 125. This provider delivers 1.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
38
Patients
35
Total drug cost
$150
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 27 | 24 | $78 |
| Methylprednisolone | Generic | 11 | 11 | $72 |
Frequently asked questions
What is Dr. Stag Shadduck's medical specialty?
Dr. Stag Shadduck practices Physician Assistant in Edgewood, KY.
Where does Dr. Stag Shadduck practice?
Dr. Stag Shadduck practices at 560 S Loop RD, Edgewood, KY 410173405. Office phone: 8593012663.
What is Dr. Stag Shadduck's NPI?
Dr. Stag Shadduck's National Provider Identifier (NPI) is 1962093674, issued by NPPES.
Does Dr. Stag Shadduck accept Medicare assignment?
Yes. Dr. Stag Shadduck accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stag Shadduck commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Treatment of broken neck of thigh bone with bone implant (HCPCS 27245); X-ray of ankle, minimum of 3 views (HCPCS 73610). Source: CMS Medicare Physician & Other Practitioners file.