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Kimberly W. Reisenauer, P.A.

NPI 1023149101ActiveIndividual· Physician Assistant· Sumter, SC

Physician Assistant (P.A.) in Sumter, South Carolina, trained at Medical University of South Carolina College of Medicine (class of 2000). Their prescriptions cost Medicare Part D more than their services did: $404,227 for 2,634 claims, against $48,501 paid for services in 2024.

Overview

NPI1023149101
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedMar 8, 2007
Last updated in NPPESFeb 1, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X638SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (SC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients100
Services billed2,366 across 113 procedure codes
Paid by Medicare$48,501

Part D prescriptions in 2024

Prescriptions (claims)2,634 · 5,829 30-day fills
Patients162
Total drug cost$404,227
Generic share81% of claims

Medicare sources and data years

Education and affiliations

Medical schoolMedical University of South Carolina College of Medicine
Graduation year2000
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Sumter

All 23 physician assistants in Sumter · All physician assistants in South Carolina