Revaz Boukia, PA-C
NPI 1144638859ActiveIndividual· Physician Assistant· Ashland, OR
Physician Assistant (PA-C) with Asante and 1 other group, practicing in Ashland, Oregon. 240 Medicare patients in 2024, $23,642 paid; nearly all of their 232 Part D prescriptions were generic (93%). Lists Asante Rogue Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1144638859 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jul 25, 2014 |
| Last updated in NPPES | May 6, 2026 |
| Certified by provider | May 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA228829 | OR |
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 (NV); Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 240 |
|---|---|
| Services billed | 265 across 14 procedure codes |
| Paid by Medicare | $23,642 |
Part D prescriptions in 2024
| Prescriptions (claims) | 232 · 242 30-day fills |
|---|---|
| Patients | 180 |
| Total drug cost | $6,833 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- AsanteMedford, OR · 149 clinicians
- Edwards Bell MD PCSparks, NV · 10 clinicians
Hospital affiliations
- Asante Rogue Regional Medical CenterMedford, OR
- Northern Nevada Medical CenterSparks, NV
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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