Mary Tice, PA
NPI 1073594206ActiveIndividual· Physician Assistant· Jacksonville, FL
Physician Assistant (PA) with Mayo Clinic Jacksonville, practicing in Jacksonville, Florida. Their prescriptions cost Medicare Part D more than their services did: $193,811 for 124 claims, against $5,956 paid for services in 2024. Viiv Healthcare Company reported $107.00 in payments in 2024, mostly food and beverage. Lists Mayo Clinic as a hospital affiliation.
Overview
| NPI | 1073594206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 5, 2005 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9102441 | FL |
| Physician Assistant, Medical | 363AM0700X | PA9102441 | 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 - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 117 across 13 procedure codes |
| Paid by Medicare | $5,956 |
Part D prescriptions in 2024
| Prescriptions (claims) | 124 · 151 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $193,811 |
| Generic share | 44% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Mayo Clinic JacksonvilleJacksonville, FL · 1,615 clinicians
Hospital affiliation
- Mayo ClinicJacksonville, FL
Industry payments (Open Payments)
- 2024$107.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Viiv Healthcare Company | $107.00 | 1 |
What the 2024 payments were for
- Food and Beverage$107.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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