Ili Wathen, PA-C
NPI 1063722577ActiveIndividual· Physician Assistant· Waldorf, MD
Physician Assistant (PA-C) in Waldorf, Maryland, licensed in MD, with an NPI issued in October 2010. Part D covered 21 prescriptions written in 2024, 86% of them generic.
Overview
| NPI | 1063722577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 18, 2010 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | C0004349 | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 55 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $468.12 |
| Generic share | 86% of claims |
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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All 27 physician assistants in Waldorf · All physician assistants in Maryland