Tanner D. Mitton, PA-C
NPI 1144601865ActiveIndividual· Physician Assistant· Blackfoot, ID
Physician Assistant (PA-C) with Gregory M Ford MD PLLC and 1 other group, practicing in Blackfoot, Idaho. 159 Medicare patients in 2024, $35,908 paid; all of their 313 Part D prescriptions were generic. Active Medical, LLC was the largest of 2 companies reporting payments in 2025, $230.65 in all, mostly food and beverage. Lists Portneuf Medical Center as a hospital affiliation.
Overview
| NPI | 1144601865 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 18, 2015 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1262 | ID |
| Physician Assistant | 363A00000X | — | — |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 1,777 across 46 procedure codes |
| Paid by Medicare | $35,908 |
Part D prescriptions in 2024
| Prescriptions (claims) | 313 · 320 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $4,362 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Gregory M Ford MD PLLCPocatello, ID · 3 clinicians
- Wray DermatologyBlackfoot, ID · 3 clinicians
Hospital affiliation
- Portneuf Medical CenterPocatello, ID
Industry payments (Open Payments)
- 2025$230.65 · 2 payments from 2 companies
- 2024$57.76 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Active Medical, LLC | $215.01 | 1 |
| Boston Scientific Corporation | $15.64 | 1 |
What the 2025 payments were for
- Food and Beverage$230.65 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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