Lili Tha
NPI 1114699428ActiveIndividual· Physician Assistant· Frederick, MD
Physician Assistant with Minuteclinic LLC, practicing in Frederick, Maryland. In 2024 Medicare paid $16,322 for 116 patients, and Part D covered 54 of their prescriptions, 81% of them generic.
Overview
| NPI | 1114699428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 5, 2021 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | C0008722 | MD |
| 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 (DC); Practitioner - Physician Assistant (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 116 |
|---|---|
| Services billed | 739 across 26 procedure codes |
| Paid by Medicare | $16,322 |
Part D prescriptions in 2024
| Prescriptions (claims) | 54 · 56 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $2,468 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Minuteclinic LLCJacksonville, FL · 577 clinicians
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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