Stag Blair Shadduck
- Medicare patients, 2024
- 205
- Part D claims, 2024
- 92
- MIPS score, 2024
- 93
- Hospital affiliations
- 2
- Medical group
- 1
- Practice address
- 560 S Loop Rd, Edgewood, KY 41017
- Practice phone
- Call (859) 301-2663
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Orthocincy Orthopaedics & Sports Medicine PSC
Edgewood, Kentucky
Find Stag Shadduck's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Stag Blair Shadduck is a physician assistant in Edgewood, Kentucky
Stag Shadduck practices at Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky.
Stag Shadduck's NPI, 1962093674, was assigned on January 27, 2021. Stag Shadduck holds Kentucky license TC072.
- NPI
- 1962093674NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0143625368
- NPI enumeration date
- January 27, 2021
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (859) 301-2663
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Stag Blair Shadduck practices at Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky
Stag Shadduck's primary practice is Orthocincy Orthopaedics & Sports Medicine PSC, at 560 S Loop Rd, Edgewood, KY 41017 in Kenton County. The practice phone is (859) 301-2663.
- Orthocincy Orthopaedics & Sports Medicine PSC560 S Loop Rd, Edgewood, KY 41017 · Kenton CountyPhone(859) 301-2663
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Stag Blair Shadduck is affiliated with 4 sites of care and 1 medical group
Stag Shadduck's primary practice is Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky. Stag Shadduck is also affiliated with St. Elizabeth Healthcare Edgewood Hospital. The medical group on file is OrthoCincy Orthopaedics & Sports Medicine. Dmand AI also links Stag Shadduck to 1 more hospital and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Stag Blair Shadduck's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Stag Shadduck practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Orthocincy Orthopaedics & Sports Medicine PSC | Available with a free account |
| +3 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Stag Blair Shadduck is one of 1,591 physician assistants in Kentucky
Physician assistant is Stag Shadduck's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Stag Shadduck is licensed in Kentucky.
Specialties and state licenses
- Physician assistant, KentuckyPrimary
Physician assistants near Stag Shadduck
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Stag Blair Shadduck treated 205 Medicare patients in 2024, average age 76
CMS counts 205 Medicare patients who saw Stag Shadduck in 2024. The largest group is 75 to 84, with 72 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 12% are also on Medicaid. Their average risk score is 1.57, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Stag Shadduck's median patient age at 56, with 63% women.
Stag Shadduck's Medicare patients by age, 2024
Stag Shadduck's Medicare patients by sex, 2024
- Women15073%
- Men5527%
Chronic conditions among Stag Shadduck's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis67%
- Anxiety46%
- Mood disorders43%
- Depression42%
- Chronic kidney disease41%
- Ischemic heart disease38%
Share of Medicare patients with each condition. A patient can have several.
Stag Shadduck's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 56
Patient panel by sex, all payers
- Women63%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Stag Blair Shadduck wrote 92 Medicare Part D claims in 2024
In 2024, Stag Shadduck wrote 92 Medicare Part D claims for 67 patients. 100% of them were for generic drugs.
Drug classes CMS tracks in Stag Shadduck's Part D claims, 2024
- Antibiotics14%13 of 92 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Stag Blair Shadduck scored 93 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 93 out of 100 for Stag Shadduck for performance year 2024, reported through an alternative payment model (APM). Stag Shadduck accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Stag Shadduck's MIPS scores, performance year 2024
- 93of 100Final score
- 86of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Sources for Stag Blair Shadduck's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Stag Blair Shadduck
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Stag Blair Shadduck's NPI number?
Stag Blair Shadduck's NPI number is 1962093674. It was assigned on January 27, 2021, and it is active in the NPI Registry.
What does Stag Blair Shadduck specialize in?
Stag Blair Shadduck is a physician assistant in Edgewood, Kentucky. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Stag Blair Shadduck practice?
Stag Shadduck practices at 560 S Loop Rd, Edgewood, KY 41017. Stag Shadduck's primary practice is Orthocincy Orthopaedics & Sports Medicine PSC in Edgewood, Kentucky. Dmand AI also links Stag Shadduck to 1 hospital and 1 group practice or clinic.
What is Stag Blair Shadduck's office phone number?
The practice phone on file for Stag Shadduck is (859) 301-2663.
What is Stag Blair Shadduck's medical license number?
Stag Shadduck holds Kentucky license TC072.
Which hospitals is Stag Blair Shadduck affiliated with?
Stag Shadduck is affiliated with St. Elizabeth Healthcare Edgewood Hospital. Dmand AI links Stag Shadduck to 1 more hospital.
What medical group is Stag Blair Shadduck part of?
Stag Shadduck is linked to OrthoCincy Orthopaedics & Sports Medicine.
Does Stag Blair Shadduck accept Medicare?
Yes. CMS lists Stag Shadduck as accepting Medicare assignment.
What is Stag Blair Shadduck's MIPS score?
Stag Shadduck's MIPS final score for performance year 2024 is 93 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Stag Blair Shadduck see?
CMS counts 205 Medicare patients who saw Stag Shadduck in 2024, with an average age of 76.
How long has Stag Blair Shadduck been practicing?
Stag Shadduck graduated from medical school in 2021, 5 years ago.
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