Conner J. Burck, PA-C
NPI 1134745664ActiveIndividual· Physician Assistant, Surgical· Missoula, MT
Physician Assistant, Surgical (PA-C) with Providence Health and Services Mt, practicing in Missoula, Montana. In 2024 Medicare paid $17,706 for 179 patients, and Part D covered 106 of their prescriptions, 84% of them generic. W. L. Gore & Associates, Inc. reported $24.91 in payments in 2024, mostly food and beverage. Lists St. Patrick Hospital as a hospital affiliation.
Overview
| NPI | 1134745664 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jun 20, 2020 |
| Last updated in NPPES | Feb 21, 2023 |
| Certified by provider | Feb 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | MED-PAC-LIC-115542 | MT |
| Physician Assistant, Surgical | 363AS0400X | PA61100789 | WA |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 235 across 42 procedure codes |
| Paid by Medicare | $17,706 |
Part D prescriptions in 2024
| Prescriptions (claims) | 106 · 134 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $10,718 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Providence Health and Services MtMissoula, MT · 362 clinicians
Hospital affiliation
- St. Patrick HospitalMissoula, MT
Industry payments (Open Payments)
- 2024$24.91 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| W. L. Gore & Associates, Inc. | $24.91 | 1 |
What the 2024 payments were for
- Food and Beverage$24.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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