Kirt Lee Edly, PA
NPI 1053575746ActiveIndividual· Physician Assistant, Medical· Rancho Mirage, CA
Physician Assistant, Medical (PA) with Desert Orthopedic Center A Medical Group Inc, practicing in Rancho Mirage, California. 428 Medicare patients in 2024, $72,136 paid; all of their 531 Part D prescriptions were generic. Ethicon US, LLC reported $127.35 in payments in 2024, mostly food and beverage. Lists Eisenhower Medical Center as a hospital affiliation.
Overview
| NPI | 1053575746 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 11, 2008 |
| Last updated in NPPES | Apr 5, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA21381 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA21381 | 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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 428 |
|---|---|
| Services billed | 1,240 across 43 procedure codes |
| Paid by Medicare | $72,136 |
Part D prescriptions in 2024
| Prescriptions (claims) | 531 · 545 30-day fills |
|---|---|
| Patients | 206 |
| Total drug cost | $2,846 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Desert Orthopedic Center A Medical Group IncRancho Mirage, CA · 49 clinicians
Hospital affiliation
- Eisenhower Medical CenterRancho Mirage, CA
Industry payments (Open Payments)
- 2024$127.35 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $127.35 | 1 |
What the 2024 payments were for
- Food and Beverage$127.35 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Medical providers in Rancho Mirage
- 1326202227
- 1649371642
- 1619659943
- 1669684932
- 1225064983
- 1275104705
- 1760516298
- 1841561487
- 1447385679
- 1528501582
- 1336240316
- 1881920007