Kelly Denise Medina, PA-C
NPI 1013587666ActiveIndividual· Physician Assistant· Moreno Valley, CA
Physician Assistant (PA-C) with County of Riverside, practicing in Moreno Valley, California. 47 Medicare patients in 2024, $3,693 paid; nearly all of their 111 Part D prescriptions were generic (90%). Boston Scientific Corporation was the largest of 2 companies reporting payments in 2025, $64.54 in all, mostly food and beverage. Lists Riverside University Health System-Medical Center as a hospital affiliation.
Overview
| NPI | 1013587666 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2021 |
| Last updated in NPPES | Feb 27, 2025 |
| Certified by provider | Feb 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 61659 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 53 across 8 procedure codes |
| Paid by Medicare | $3,693 |
Part D prescriptions in 2024
| Prescriptions (claims) | 111 · 118 30-day fills |
|---|---|
| Patients | 74 |
| Total drug cost | $3,935 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- County of RiversideIndio, CA · 193 clinicians
Hospital affiliation
- Riverside University Health System-Medical CenterMoreno Valley, CA
Industry payments (Open Payments)
- 2025$64.54 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $34.81 | 1 |
| Sumitomo Pharma America, Inc. | $29.73 | 1 |
What the 2025 payments were for
- Food and Beverage$64.54 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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