Ricky O. Tatum, PAC
NPI 1073837555ActiveIndividual· Physician Assistant· Waycross, GA
Physician Assistant (PAC) with Ware Express Care, LLC, practicing in Waycross, Georgia. Their prescriptions cost Medicare Part D more than their services did: $13,239 for 303 claims, against $5,652 paid for services in 2024. Novo Nordisk Inc reported $19.42 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1073837555 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Mar 26, 2010 |
| Last updated in NPPES | Jan 8, 2026 |
| Certified by provider | Jan 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 002235 | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 331 across 23 procedure codes |
| Paid by Medicare | $5,652 |
Part D prescriptions in 2024
| Prescriptions (claims) | 303 · 353 30-day fills |
|---|---|
| Patients | 135 |
| Total drug cost | $13,239 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 1979 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ware Express Care, LLCWaycross, GA · 3 clinicians
Industry payments (Open Payments)
- 2024$19.42 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $19.42 | 1 |
What the 2024 payments were for
- Food and Beverage$19.42 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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