Doctor profile · Federal record
Dr. Shauna Ketchum, RPA-C
Medical Physician Assistant (CMS: Physician Assistant) · Brockport, NY
- NPI 1750617072
- Accepts Medicare
- 17 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
300 West Ave
Brockport, NY 144201118
(585) 637-3905
fax (585) 637-4990
Credentials & registration
- NPI registered
- October 2009 — 17 yrs on file
- Profile last updated
- June 14, 2024
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- New York #013457-1
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750617072. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$488
Transactions
27
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 19 | $330.34 | |
| Phathom Pharmaceuticals, INC. | 3 | $61.46 | |
| Pfizer INC. | 2 | $38.93 | |
| Indivior INC. | 1 | $22.91 | |
| Abbvie INC. | 1 | $17.50 | |
| GlaxoSmithKline, LLC. | 1 | $16.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,425
Patients
384
Total drug cost
$23,743
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 214 | 63 | $3,240 |
| Levothyroxine Sodium | Generic | 131 | 35 | $2,188 |
| Omeprazole | Generic | 121 | 29 | $2,159 |
| Gabapentin | Generic | 98 | 25 | $2,291 |
| Amlodipine Besylate | Generic | 96 | 32 | $643 |
| Losartan Potassium | Generic | 94 | 32 | $1,696 |
| Metformin Hcl | Generic | 93 | 28 | $1,019 |
| Lisinopril | Generic | 87 | 29 | $738 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 86 | 26 | $2,331 |
| Hydrochlorothiazide | Generic | 82 | 28 | $360 |
Frequently asked questions
What is Dr. Shauna Ketchum's medical specialty?
Dr. Shauna Ketchum practices Medical Physician Assistant in Brockport, NY.
Where does Dr. Shauna Ketchum practice?
Dr. Shauna Ketchum practices at 300 West Ave, Brockport, NY 144201118. Office phone: 5856373905.
What is Dr. Shauna Ketchum's NPI?
Dr. Shauna Ketchum's National Provider Identifier (NPI) is 1750617072, issued by NPPES.
Does Dr. Shauna Ketchum accept Medicare assignment?
Yes. Dr. Shauna Ketchum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.