Stag Blair Shadduck
Physician Assistant · Edgewood, KY
Stag Blair Shadduck is a physician assistant with a practice address in Edgewood, Kentucky, and NPI 1962093674, issued on Jan 27, 2021. Check the license (Kentucky TC072, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stag Blair Shadduck
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- TC072 KY
Self-reported in NPPES; status is on the state search - Practice location
- 560 S Loop RD, Edgewood, KY 41017
- Phone
- (859) 301-2663
- Enumerated
- Jan 27, 2021
- Record last updated
- Aug 18, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (859) 817-7848
- Medicare enrollment
- Enrolled (PECOS I20210825002564); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 560 S Loop RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarag Abhari, MDOrthopaedic Surgery Physician1437654993
- James Baker, MDOrthopaedic Hand Surgery Physician1588879860
- Daniel Bartlett, DPTPhysical Therapist1750704052
- Karli Beasley, PT, DPTPhysical Therapist1265043103
- John Bever, MDOrthopaedic Surgery Physician1730181991
- Kevin Bonfield, MDInternal Medicine Physician1285096354
Verify Stag Blair Shadduck in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license TC072Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average physician assistant in 2024
92 Medicare Part D claims for 67 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Methylprednisolone19 claims
- Diclofenac Sodium15 claims
- Cephalexin11 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 MIPS final score for 2023 (Medicare payment program): 90.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Orthocincy Orthopaedics And Sports Medicine PscEdgewood, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
51 physician assistant records list a practice address in Edgewood
They are 51 of the 1,159 NPPES records with a practice address in Edgewood, and 1,958 physician assistant records in Kentucky.
All 51 in Edgewood → All 1,958 in Kentucky → Every provider in Edgewood →
Other physician assistant records in Kentucky
- Devin AbbottLexington, KY1174354229
- Malinda Abbott, PALexington, KY1467470203
- Whitney Abbott, PA-CLexington, KY1619100799
- Brian Abner, PA-CBarbourville, KY1275883050
- Dee Abrams, PA-CLexington, KY1104927656
- Hayley Absher, PA-CShelbyville, KY1780209429
- Sara Ackerman, PA-CLawrenceburg, KY1467504845
- Briana AcostaClay City, KY1285528679
- Ashley Adair, PA-CLouisville, KY1639093396
- James Adair, PA-CLexington, KY1003140989
Common questions
What is Stag Blair Shadduck's NPI number?
Stag Blair Shadduck's National Provider Identifier (NPI) is 1962093674, issued on Jan 27, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Stag Blair Shadduck located?
The NPPES record lists a practice address at 560 S Loop RD, Edgewood, KY, 41017. Phone: (859) 301-2663. Providers update this record themselves, so call before visiting.
How can I verify Stag Blair Shadduck's license?
NPPES lists Kentucky license number TC072, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
How much does Stag Blair Shadduck prescribe under Medicare Part D?
In 2024, Stag Blair Shadduck had 92 Medicare Part D claims for 67 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Stag Blair Shadduck's MIPS final score?
The 2023 MIPS final score is 90.4 of 100. 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.