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Caroline Luczak

NPI 1053960724ActiveIndividual· Physician Assistant· Mountain View, CA

Physician Assistant with El Camino Health Medical Network LLC and 1 other group, practicing in Mountain View, California. Their prescriptions cost Medicare Part D more than their services did: $174,416 for 902 claims, against $4,640 paid for services in 2024. Lists El Camino Health as a hospital affiliation.

Overview

NPI1053960724
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 5, 2019
Last updated in NPPESFeb 26, 2025
Certified by providerFeb 26, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

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 patients60
Services billed69 across 12 procedure codes
Paid by Medicare$4,640

Part D prescriptions in 2024

Prescriptions (claims)902 · 2,290 30-day fills
Patients255
Total drug cost$174,416
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical groups

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 Assistant providers in Mountain View

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