Sandra K. Ham, FNP-C
NPI 1083881262ActiveIndividual· Nurse Practitioner, Family· Buffalo, WY
Nurse Practitioner, Family (FNP-C) with Gastroenterology Associates, LLC, practicing in Buffalo, Wyoming. Their prescriptions cost Medicare Part D more than their services did: $197,278 for 954 claims, against $49,402 paid for services in 2024. Takeda Pharmaceuticals U.S.A., Inc. was the largest of 3 companies reporting payments in 2025, $223.67 in all, mostly food and beverage. Lists Campbell County Health and 1 other hospital as hospital affiliations.
Overview
| NPI | 1083881262 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | May 15, 2008 |
| Last updated in NPPES | Nov 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 23899-0963 | WY |
| Nurse Practitioner, Family | 363LF0000X | CP000529 | SD |
| Nurse Practitioner, Family | 363LF0000X | 23899 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 582 |
|---|---|
| Services billed | 920 across 12 procedure codes |
| Paid by Medicare | $49,402 |
Part D prescriptions in 2024
| Prescriptions (claims) | 954 · 1,747 30-day fills |
|---|---|
| Patients | 402 |
| Total drug cost | $197,278 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Gastroenterology Associates, LLCCasper, WY · 13 clinicians
Hospital affiliations
- Campbell County HealthGillette, WY
- Sheridan Memorial HospitalSheridan, WY
Industry payments (Open Payments)
- 2025$223.67 · 14 payments from 3 companies
- 2024$111.65 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $179.10 | 11 |
| Genzyme Corporation | $34.49 | 2 |
| Phathom Pharmaceuticals, Inc. | $10.08 | 1 |
What the 2025 payments were for
- Food and Beverage$223.67 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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