Kathryn Peterson, PA-C
NPI 1093302630ActiveIndividual· Physician Assistant· Vermillion, SD
Physician Assistant (PA-C) with Sanford Health Network, practicing in Vermillion, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $257,648 for 2,764 claims, against $44,265 paid for services in 2024. Lists Sanford Canton-Inwood Medical Center - Cah and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1093302630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 29, 2020 |
| Last updated in NPPES | Oct 27, 2025 |
| Certified by provider | Oct 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13545 | MN |
| Physician Assistant | 363A00000X | 1652 | SD |
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 - Physician Assistant (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 1,886 across 66 procedure codes |
| Paid by Medicare | $44,265 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,764 · 5,308 30-day fills |
|---|---|
| Patients | 343 |
| Total drug cost | $257,648 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sanford Health NetworkTracy, MN · 351 clinicians
Hospital affiliations
- Sanford Canton-Inwood Medical Center - CahCanton, SD
- Sanford Usd Medical CenterSioux Falls, SD
- Sanford Vermillion Medical CenterVermillion, SD
- United Hospital DistrictBlue Earth, MN
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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