Audra Jo Burdulis, PA-C
NPI 1124075205ActiveIndividual· Physician Assistant, Medical· Bend, OR
Physician Assistant, Medical (PA-C) with Icco LLC, practicing in Bend, Oregon. 185 Medicare patients in 2024, $12,791 paid; nearly all of their 287 Part D prescriptions were generic (94%).
Overview
| NPI | 1124075205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA228080 | OR |
| Physician Assistant, Medical | 363AM0700X | PA10004625 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 217 across 18 procedure codes |
| Paid by Medicare | $12,791 |
Part D prescriptions in 2024
| Prescriptions (claims) | 287 · 291 30-day fills |
|---|---|
| Patients | 194 |
| Total drug cost | $3,226 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Icco LLCEugene, OR · 135 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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