NPPES file of Aug 9, 2026

Ethan T. Shaver, PA

Physician Assistant · Green Bay, WI

Ethan T. Shaver, PA is a physician assistant with a practice address in Green Bay, Wisconsin, and NPI 1013452002, issued on Dec 29, 2016. Check the license with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013452002
Name
Ethan T. Shaver
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
1110 Kepler Dr, Green Bay, WI 54311
Phone
(920) 288-5555
Enumerated
Dec 29, 2016
Record last updated
May 19, 2026
Fax
(920) 288-5550
Medicare enrollment
Enrolled (PECOS I20170209000740); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1110 Kepler Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Awowale, M.D.Orthopaedic Surgery Physician1649615329
  2. Kari Becker, OTOccupational Therapist1356226518
  3. Elizabeth Bohrer, PACPhysician Assistant1760963862
  4. Antonino Bommarito, PA-CPhysician Assistant1396416053
  5. Todd Bruss, ATC, LAT, CSCS, PA-CPhysician Assistant1417178443
  6. Sarah Burton, NPNurse Practitioner1154869667

Verify Ethan T. Shaver in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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67% more Medicare Part D claims than the average physician assistant in 2024

1,390 Medicare Part D claims for 379 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 674 claims were for opioids.

  1. Ethan Shaver1,390
  2. Specialty average830

Most prescribed

  1. Hydrocodone-Acetaminophen478 claims
  2. Oxycodone-Acetaminophen141 claims
  3. Eliquis124 claims
  4. Cephalexin121 claims
  5. Meloxicam113 claims
  6. Cefadroxil74 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 77.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.2
  2. Costout of 100 · 30%48.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $114.05

1 payment: food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ethan Shaver$114.05
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Baycare Clinic LLPGreen Bay, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ethan T. Shaver among 3,475 physician assistant records in Wisconsin

Ethan T. Shaver, PA is one of 3,475 physician assistant records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 53% of them.

  • NPI issued2016 · 53% of these records are older, 44% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2016 · median 2016 among the 2,491 with a school on file
  • Record last updated2026 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

182 physician assistant records list a practice address in Green Bay

They are 182 of the 4,619 NPPES records with a practice address in Green Bay, and 3,475 physician assistant records in Wisconsin.

The 8 physician assistant records with the nearest ZIP codes

  1. Heather Allen, P.AGreen Bay, WI 543111780675603
  2. Isadora Asman, PAGreen Bay, WI 543111598972788
  3. Jennifer Bratonia, PAGreen Bay, WI 543111447262290
  4. Todd Bruss, ATC, LAT, CSCS, PA-CGreen Bay, WI 543111417178443
  5. Robert Capello, PA-CGreen Bay, WI 543111184721656
  6. Bonnie Glinski, PAGreen Bay, WI 543111295750180
  7. Gerald Gozner, PACGreen Bay, WI 543111134228554
  8. Jared Hocking, PAGreen Bay, WI 543111205848926

Common questions

What is Ethan T. Shaver, PA's NPI number?

Ethan T. Shaver, PA's National Provider Identifier (NPI) is 1013452002, issued on Dec 29, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Ethan T. Shaver, PA located?

The NPPES record lists a practice address at 1110 Kepler Dr, Green Bay, WI, 54311. Phone: (920) 288-5555. Providers update this record themselves, so call before visiting.

How can I verify Ethan T. Shaver, PA's license?

Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

How much does Ethan T. Shaver, PA prescribe under Medicare Part D?

In 2024, Ethan T. Shaver, PA had 1,390 Medicare Part D claims for 379 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Ethan T. Shaver, PA's MIPS final score?

The 2023 MIPS final score is 77.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.