Wyatt Jeffrey Andersen, PA-C
NPI 1134867864ActiveIndividual· Physician Assistant· Stanford, CA
Physician Assistant (PA-C) with Stanford Health Care, practicing in Stanford, California. 29 Medicare patients in 2024, $2,875 paid; all of their 72 Part D prescriptions were generic. Evolution Surgical, Inc was the largest of 3 companies reporting payments in 2024, $1,100 in all, mostly travel and lodging. Lists Stanford Health Care as a hospital affiliation.
Overview
| NPI | 1134867864 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 23, 2022 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 62760 | CA |
| Physician Assistant, Surgical | 363AS0400X | 62760 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 40 across 7 procedure codes |
| Paid by Medicare | $2,875 |
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 72 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $1,070 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Stanford Health CareStanford, CA · 3,122 clinicians
Hospital affiliation
- Stanford Health CareStanford, CA
Industry payments (Open Payments)
- 2024$1,100 · 11 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Evolution Surgical, Inc | $590.10 | 3 |
| Arthrex, Inc. | $489.90 | 7 |
| Djo, LLC | $19.54 | 1 |
What the 2024 payments were for
- Travel and Lodging$770.81 · 4 payments
- Food and Beverage$328.73 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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