NPI Lens

Kenneth Perry, PAS

NPI 1063031938ActiveIndividual· Student in an Organized Health Care Education/Training Program· Phoenix, AZ

Student in an Organized Health Care Education/Training Program (PAS) with Banner Physician Specialists Arizona LLC, practicing in Phoenix, Arizona. Mostly services rather than prescriptions: Medicare paid $3,181 for 46 patients in 2024, with only 14 Part D claims. Lists Banner del E. Webb Medical Center as a hospital affiliation.

Overview

NPI1063031938
StatusActive
Entity typeIndividual
CredentialPAS
Sole proprietorYes
NPI issuedApr 10, 2020
Last updated in NPPESApr 10, 2020
Certified by providerApr 10, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Student in an Organized Health Care Education/Training Program Primary390200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients46
Services billed50 across 15 procedure codes
Paid by Medicare$3,181

Part D prescriptions in 2024

Prescriptions (claims)14 · 14 30-day fills
Total drug cost$47.52
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Other Student in an Organized Health Care Education/Training Program providers in Phoenix

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