Kelly Hacker, PA-C
NPI 1104090208ActiveIndividual· Physician Assistant· Oklahoma City, OK
Physician Assistant (PA-C) with Integris Cardiovascular Physicians LLC, practicing in Oklahoma City, Oklahoma. Their prescriptions cost Medicare Part D more than their services did: $180,507 for 1,256 claims, against $18,269 paid for services in 2024. Amgen Inc. was the largest of 7 companies reporting payments in 2025, $307.75 in all, mostly food and beverage. Lists Integris Baptist Medical Center, Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104090208 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 18, 2008 |
| Last updated in NPPES | Apr 18, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1373 | OK |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 296 across 13 procedure codes |
| Paid by Medicare | $18,269 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,256 · 2,631 30-day fills |
|---|---|
| Patients | 294 |
| Total drug cost | $180,507 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Integris Cardiovascular Physicians LLCOklahoma City, OK · 116 clinicians
Hospital affiliations
- Integris Baptist Medical Center, IncOklahoma City, OK
- Integris Health Woodward HospitalWoodward, OK
Industry payments (Open Payments)
- 2025$307.75 · 10 payments from 7 companies
- 2024$251.10 · 15 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $117.32 | 1 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $43.77 | 2 |
| Esperion Therapeutics, Inc. | $39.40 | 2 |
| Medtronic, Inc. | $30.75 | 1 |
| Edwards Lifesciences Corporation | $28.08 | 2 |
What the 2025 payments were for
- Food and Beverage$307.75 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Oklahoma City
- 1003538836
- 1013339522
- 1013517168
- 1013556075
- 1023320199
- 1023346806
- 1023584588
- 1033488895
- 1033624523
- 1033675954
- 1043215593
- 1043515018
All 685 physician assistants in Oklahoma City · All physician assistants in Oklahoma