Shannon Radkovich, PA-C
NPI 1215292099 · Physician Assistant · Randolph, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Radkovich, PA-C is a Physician Assistant provider in Randolph, NJ (NPI 1215292099).
Provider details
- NPI number
- 1215292099
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00285900 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
376 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 176 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 86 | $119 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 28 | $9 |
| Urinalysis, Manual Test81002 | 22 | $3 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $120 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 49 | 44 |
| Atorvastatin Calcium | 39 | 20 |
| Prednisone | 37 | 34 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 30 | 29 |
| Levothyroxine Sodium | 28 | 16 |
| Amlodipine Besylate | 26 | 12 |
| Nitrofurantoin Monohyd/M-Cryst |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$189 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1 Diamond Hill RdBerkeley Heights, NJ 07922-2104Phone: (908) 273-4300
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Frequently asked questions
- What is Shannon Radkovich's NPI number?
- Shannon Radkovich's National Provider Identifier (NPI) is 1215292099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Radkovich's specialty?
- Shannon Radkovich is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Radkovich located?
- Shannon Radkovich's practice location on file with NPPES is 714 Route 10 W, Randolph, NJ 07869-2058.
- What is Shannon Radkovich's phone number?
- The practice phone number listed in the NPPES registry for Shannon Radkovich is (973) 891-1213.
- Does Shannon Radkovich accept Medicare?
- Shannon Radkovich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Radkovich's NPI active?
- Yes — Shannon Radkovich's NPI (1215292099) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.