Polina Kokoulina, PA-C
NPI 1013342468ActiveIndividual· Physician Assistant, Surgical· Boise, ID
Physician Assistant, Surgical (PA-C) with Saint Alphonsus Regional Medical Center Inc, practicing in Boise, Idaho. 54 Medicare patients in 2024, $5,330 paid; nearly all of their 169 Part D prescriptions were generic (96%). Astrazeneca Pharmaceuticals LP reported $28.28 in payments in 2024, mostly food and beverage. Lists Saint Alphonsus Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1013342468 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 4, 2013 |
| Last updated in NPPES | Apr 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA-1093 | ID |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 100 across 23 procedure codes |
| Paid by Medicare | $5,330 |
Part D prescriptions in 2024
| Prescriptions (claims) | 169 · 227 30-day fills |
|---|---|
| Patients | 86 |
| Total drug cost | $3,480 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2024$28.28 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $28.28 | 1 |
What the 2024 payments were for
- Food and Beverage$28.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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