Tedric D. Lolis, PA-C
NPI 1114660289ActiveIndividual· Physician Assistant· Charlottesville, VA
Physician Assistant (PA-C) with University of Virginia Physicians Group and 1 other group, practicing in Charlottesville, Virginia. 242 Medicare patients in 2024, $41,028 paid; all of their 91 Part D prescriptions were generic. Lists Berkeley Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1114660289 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 18, 2022 |
| Last updated in NPPES | Jul 27, 2026 |
| Certified by provider | Jul 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110008916 | VA |
| Physician Assistant, Surgical | 363AS0400X | — | — |
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 (VA); Practitioner - Physician Assistant (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 242 |
|---|---|
| Services billed | 8,442 across 46 procedure codes |
| Paid by Medicare | $41,028 |
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 94 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $506.70 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- University of Virginia Physicians GroupCharlottesville, VA · 1,717 clinicians
- East Mountain Health Physicians IncRanson, WV · 88 clinicians
Hospital affiliations
- Berkeley Medical CenterMartinsburg, WV
- Winchester Medical CenterWinchester, VA
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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All 165 physician assistants in Charlottesville · All physician assistants in Virginia