Rachel A. Parine, PA-C
NPI 1043599210ActiveIndividual· Physician Assistant· Seattle, WA
Physician Assistant (PA-C) with Silver Falls Dermatology LLC, practicing in Seattle, Washington. Their prescriptions cost Medicare Part D more than their services did: $163,767 for 634 claims, against $99,131 paid for services in 2024. Janssen Biotech, Inc. was the largest of 15 companies reporting payments in 2025, $1,847 in all, mostly food and beverage.
Overview
| NPI | 1043599210 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 5, 2011 |
| Last updated in NPPES | Oct 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant | 363A00000X | EMT.ES.600024559 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 491 |
|---|---|
| Services billed | 13,050 across 51 procedure codes |
| Paid by Medicare | $99,131 |
Part D prescriptions in 2024
| Prescriptions (claims) | 634 · 723 30-day fills |
|---|---|
| Patients | 274 |
| Total drug cost | $163,767 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Silver Falls Dermatology LLCMill Creek, WA · 101 clinicians
Industry payments (Open Payments)
- 2025$1,847 · 102 payments from 15 companies
- 2024$833.05 · 35 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $440.59 | 27 |
| Abbvie Inc. | $273.18 | 16 |
| Regeneron Healthcare Solutions, Inc. | $245.03 | 14 |
| Ucb, Inc. | $186.29 | 12 |
| Organon LLC | $162.10 | 7 |
What the 2025 payments were for
- Food and Beverage$1,727 · 99 payments
- Education$119.29 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 850 physician assistants in Seattle · All physician assistants in Washington