Ken Kim Kristofferson, PA
NPI 1154341584ActiveIndividual· Physician Assistant· El Paso, TX
Physician Assistant (PA) with Rio Grande Urology PA, practicing in El Paso, Texas. Mostly services rather than prescriptions: Medicare paid $55,736 for 302 patients in 2024, with only 25 Part D claims. Lists Las Palmas Medical Center A Campus of Lpds Healthc and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1154341584 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Jun 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA02936 | TX |
| Physician Assistant, Surgical | 363AS0400X | PA02936 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 302 |
|---|---|
| Services billed | 885 across 8 procedure codes |
| Paid by Medicare | $55,736 |
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 33 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $173.03 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Rio Grande Urology PAEl Paso, TX · 27 clinicians
Hospital affiliations
- Las Palmas Medical Center A Campus of Lpds HealthcEl Paso, TX
- Sierra Medical CenterEl Paso, TX
- The Hospitals of Providence - Memorial CampusEl Paso, TX
- The Hospitals of Providence Horizon City CampusHorizon City, TX
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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All 163 physician assistants in El Paso · All physician assistants in Texas