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Jeremy Allen, PA-C

NPI 1124205661ActiveIndividual· Physician Assistant, Medical· Coeur D Alene, ID

Opted out of Medicare from January 2026 to January 2028. Physician Assistant, Medical (PA-C) in Coeur D Alene, Idaho, with an NPI issued in January 2008. 117 Medicare patients in 2024, $41,158 paid; nearly all of their 1,024 Part D prescriptions were generic (92%).

Overview

NPI1124205661
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedJan 28, 2008
Last updated in NPPESFeb 23, 2024
Certified by providerFeb 23, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jan 1, 2026 – Jan 1, 2028
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients117
Services billed558 across 16 procedure codes
Paid by Medicare$41,158

Part D prescriptions in 2024

Prescriptions (claims)1,024 · 1,057 30-day fills
Patients108
Total drug cost$57,915
Generic share92% of claims

Medicare sources and data years

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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