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Samuel Lopez, PA-C

NPI 1114167756ActiveIndividual· Physician Assistant, Surgical· Vancouver, WA

Physician Assistant, Surgical (PA-C) with Kaiser Foundation Health Plan of the Northwest, practicing in Vancouver, Washington. Part D covered 733 prescriptions written in 2024, 92% of them generic.

Overview

NPI1114167756
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedFeb 23, 2009
Last updated in NPPESMar 6, 2022
Certified by providerMar 6, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400XPAL-3102CO
Physician Assistant363A00000XPA156712OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (WA)

Part D prescriptions in 2024

Prescriptions (claims)733 · 803 30-day fills
Patients204
Total drug cost$53,645
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2010
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

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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