Cherilyn Carrillo Cabanero, PA-C
NPI 1114632908ActiveIndividual· Physician Assistant· Cordova, TN
Physician Assistant (PA-C) with Specialty Physician Group LLC, practicing in Cordova, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $108,567 for 634 claims, against $29,339 paid for services in 2024. Medtronic, Inc. reported $99.86 in payments in 2025, mostly food and beverage. Lists Methodist Healthcare - Olive Branch Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114632908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jan 17, 2023 |
| Last updated in NPPES | Jan 10, 2024 |
| Certified by provider | Jan 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5532 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (MS); Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 366 |
|---|---|
| Services billed | 932 across 16 procedure codes |
| Paid by Medicare | $29,339 |
Part D prescriptions in 2024
| Prescriptions (claims) | 634 · 1,211 30-day fills |
|---|---|
| Patients | 196 |
| Total drug cost | $108,567 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Specialty Physician Group LLCOlive Branch, MS · 102 clinicians
Hospital affiliations
- Methodist Healthcare - Olive Branch HospitalOlive Branch, MS
- Methodist Hospitals of MemphisMemphis, TN
Industry payments (Open Payments)
- 2025$99.86 · 1 payment from 1 company
- 2024$1,402 · 12 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $99.86 | 1 |
What the 2025 payments were for
- Food and Beverage$99.86 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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