Lacee Marie Childers, PA
NPI 1073816583ActiveIndividual· Physician Assistant, Medical· Riverside, CA
Physician Assistant, Medical (PA) in Riverside, California, licensed in CA, with an NPI issued in December 2010. Their prescriptions cost Medicare Part D more than their services did: $2,622 for 52 claims, against $1,200 paid for services in 2024.
Overview
| NPI | 1073816583 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2010 |
| Last updated in NPPES | Sep 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA21251 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 16 across 3 procedure codes |
| Paid by Medicare | $1,200 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 56 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $2,622 |
| Generic share | 81% 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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