Vivian Nia Koufogazos, PA-C
NPI 1083480636ActiveIndividual· Physician Assistant· Lutz, FL
Physician Assistant (PA-C) in Lutz, Florida, licensed in FL, with an NPI issued in November 2023. Part D covered 179 prescriptions written in 2024, 78% of them generic. Mallinckrodt Hospital Products Inc. was the largest of 3 companies reporting payments in 2025, $383.55 in all, mostly food and beverage.
Overview
| NPI | 1083480636 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Nov 27, 2023 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Nov 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9118111 | 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) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 179 · 179 30-day fills |
|---|---|
| Patients | 109 |
| Total drug cost | $1,691 |
| Generic share | 78% of claims |
Industry payments (Open Payments)
- 2025$383.55 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mallinckrodt Hospital Products Inc. | $149.39 | 2 |
| Novo Nordisk Inc | $120.25 | 1 |
| Madrigal Pharmaceuticals | $113.91 | 1 |
What the 2025 payments were for
- Food and Beverage$383.55 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 30 physician assistants in Lutz · All physician assistants in Florida