Kelly Malia Peterson, PA-C
NPI 1003217860ActiveIndividual· Physician Assistant· Muskegon, MI
Physician Assistant (PA-C) with Lake Michigan Observation Services PLLC, practicing in Muskegon, Michigan. 77 Medicare patients in 2024, $6,653 paid; nearly all of their 203 Part D prescriptions were generic (93%). Abiomed reported $146.58 in payments in 2025, mostly food and beverage. Lists Trinity Health Muskegon Hospital as a hospital affiliation.
Overview
| NPI | 1003217860 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 11, 2014 |
| Last updated in NPPES | Aug 5, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601007197 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 84 across 10 procedure codes |
| Paid by Medicare | $6,653 |
Part D prescriptions in 2024
| Prescriptions (claims) | 203 · 204 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $2,555 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lake Michigan Observation Services PLLCMuskegon, MI · 27 clinicians
Hospital affiliation
- Trinity Health Muskegon HospitalMuskegon, MI
Industry payments (Open Payments)
- 2025$146.58 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $146.58 | 1 |
What the 2025 payments were for
- Food and Beverage$146.58 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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