Raymond Wolfgang Lieber, PA-C
NPI 1053563965ActiveIndividual· Physician Assistant· Flagstaff, AZ
Physician Assistant (PA-C) with Northern Arizona Healthcare Corporation, practicing in Flagstaff, Arizona. Mostly services rather than prescriptions: Medicare paid $8,154 for 73 patients in 2024, with only 18 Part D claims. Lists Flagstaff Medical Center as a hospital affiliation.
Overview
| NPI | 1053563965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 22, 2008 |
| Last updated in NPPES | Sep 15, 2020 |
| Certified by provider | Sep 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4601 | AZ |
| Physician Assistant | 363A00000X | PA20030 | CA |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 97 across 37 procedure codes |
| Paid by Medicare | $8,154 |
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 18 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $126.75 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northern Arizona Healthcare CorporationFlagstaff, AZ · 385 clinicians
Hospital affiliation
- Flagstaff Medical CenterFlagstaff, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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