Samuel Etienne, DR., PA
NPI 1134707300ActiveIndividual· Physician Assistant, Medical· Tempe, AZ
Physician Assistant, Medical (DR., PA) with Triad Chiropractic and Rehabilitation Clinics, LLC, practicing in Tempe, Arizona. Mostly services rather than prescriptions: Medicare paid $73,071 for 210 patients in 2024, with only 19 Part D claims. Sanofi Pasteur Inc. reported $26.52 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1134707300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DR., PA |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Mar 1, 2023 |
| Certified by provider | Feb 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 8319 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 210 |
|---|---|
| Services billed | 4,448 across 31 procedure codes |
| Paid by Medicare | $73,071 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19 · 26 30-day fills |
|---|---|
| Total drug cost | $12,558 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Triad Chiropractic and Rehabilitation Clinics, LLCGold Canyon, AZ · 5 clinicians
Industry payments (Open Payments)
- 2024$26.52 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Sanofi Pasteur Inc. | $26.52 | 1 |
What the 2024 payments were for
- Food and Beverage$26.52 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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