Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shadoe M Daniels, MPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1215596317

Shadoe M Daniels, MPAS, PA-C is a Physician Assistant in Callicoon, New York. Qualified in 2019, 7 years ago. Practices with Cooperstown Medical Center, a 12-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Dakota, New York and Pennsylvania.

Years since qualifying
7
Licensed in
ND, NY, PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8881 NY-97
Callicoon, NY 12723
Phone: (845) 333-6800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 107 12th St S, Cooperstown, ND 58425-4501 — (701) 786-1700
  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-1000
  • 68 Harris Bushville Rd, Monticello, NY 12701-3027 — (845) 794-3300
  • 575 N River St, Wilkes Barre, PA 18702-2634 — (570) 829-8111

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 024896 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PAC0965 (ND)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA060726 (PA)

Record details

NPI number1215596317
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cooperstown Medical Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients142
Services billed 228 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $19 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 nursing home, which CMS identifies by certification number only.

Colleagues at Cooperstown Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 12 clinicians in the practice; 10 are shown here.