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Keturah Braithwaite, PA-C

NPI 1023773579ActiveIndividual· Physician Assistant· San Bernardino, CA

Physician Assistant (PA-C) in San Bernardino, California, licensed in CA, with an NPI issued in November 2021. In 2024 Medicare paid $5,365 for 30 patients, and Part D covered 63 of their prescriptions, 78% of them generic.

Overview

NPI1023773579
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedNov 1, 2021
Last updated in NPPESJun 29, 2023
Certified by providerJun 29, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X61065CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients30
Services billed45 across 6 procedure codes
Paid by Medicare$5,365

Part D prescriptions in 2024

Prescriptions (claims)63 · 116 30-day fills
Patients24
Total drug cost$7,540
Generic share78% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Physician Assistant providers in San Bernardino

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