Sara Devine, PA
NPI 1164159463ActiveIndividual· Physician Assistant· Saratoga, WY
Physician Assistant (PA) with Ivinson Memorial Hospital, practicing in Saratoga, Wyoming. Mostly services rather than prescriptions: Medicare paid $4,980 for 46 patients in 2024, with only 28 Part D claims. Lists Ivinson Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1164159463 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 5, 2022 |
| Last updated in NPPES | Jul 12, 2024 |
| Certified by provider | Aug 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1214 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 51 across 9 procedure codes |
| Paid by Medicare | $4,980 |
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 28 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $174.56 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ivinson Memorial HospitalLaramie, WY · 63 clinicians
Hospital affiliation
- Ivinson Memorial HospitalLaramie, WY
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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