Joyce Angela Struna, PA-C
NPI 1003068263ActiveIndividual· Physician Assistant· Sylva, NC
Physician Assistant (PA-C) with Lamond Family Medicine PLLC, practicing in Sylva, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $631,770 for 6,342 claims, against $83,910 paid for services in 2024. Novo Nordisk Inc was the largest of 9 companies reporting payments in 2025, $517.24 in all, mostly food and beverage. Lists Angel Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1003068263 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 21, 2008 |
| Last updated in NPPES | Apr 11, 2025 |
| Certified by provider | Apr 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-06642 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 194 |
|---|---|
| Services billed | 3,989 across 66 procedure codes |
| Paid by Medicare | $83,910 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,342 · 13,567 30-day fills |
|---|---|
| Patients | 434 |
| Total drug cost | $631,770 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Lamond Family Medicine PLLCSylva, NC · 49 clinicians
Hospital affiliations
- Angel Medical CenterFranklin, NC
- Dlp Swain County Hospital LLCBryson City, NC
- Harris Regional HospitalSylva, NC
- Haywood Regional Medical CenterClyde, NC
Other facilities
- Harris Home HealthHome health agency · Sylva, NC
Industry payments (Open Payments)
- 2025$517.24 · 17 payments from 9 companies
- 2024$77.93 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $161.98 | 3 |
| Exact Sciences Corporation | $144.92 | 2 |
| Lilly USA, LLC | $53.17 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $34.84 | 2 |
| Pfizer Inc. | $32.59 | 2 |
What the 2025 payments were for
- Food and Beverage$517.24 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Sylva
- 1972791879
- 1538114772
- 1619437233
- 1770181927
- 1255469755
- 1093753311
- 1992598742
- 1659321057
- 1124392154
- 1396700605
- 1710165782
- 1699028092