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NPI 1073269775ActiveIndividual· Physician Assistant· Miramar Beach, FL
Physician Assistant with Sacred Heart Health System Inc, practicing in Miramar Beach, Florida. Their prescriptions cost Medicare Part D more than their services did: $332,088 for 1,509 claims, against $34,491 paid for services in 2024. E.R. Squibb & Sons, L.L.C. was the largest of 2 companies reporting payments in 2025, $132.32 in all, mostly food and beverage. Lists Sacred Heart Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073269775 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 22, 2022 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | APRN11018111 | FL |
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 - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 471 |
|---|---|
| Services billed | 788 across 14 procedure codes |
| Paid by Medicare | $34,491 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,509 · 3,974 30-day fills |
|---|---|
| Patients | 454 |
| Total drug cost | $332,088 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sacred Heart Health System IncPensacola, FL · 389 clinicians
Hospital affiliations
- Sacred Heart HospitalPensacola, FL
- Sacred Heart Hospital on the Emerald CoastMiramar Beach, FL
Industry payments (Open Payments)
- 2025$132.32 · 2 payments from 2 companies
- 2024$211.66 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $116.84 | 1 |
| Amgen Inc. | $15.48 | 1 |
What the 2025 payments were for
- Food and Beverage$132.32 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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