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Kacey Rae Lopez, PA

NPI 1164892204ActiveIndividual· Physician Assistant· Lafayette, LA

Physician Assistant (PA) in Lafayette, Louisiana, trained at Louisiana State University School of Medicine in Shreveport (class of 2015). Mostly services rather than prescriptions: Medicare paid $1,525 for 16 patients in 2024, with only 42 Part D claims.

Overview

NPI1164892204
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedOct 1, 2015
Last updated in NPPESJun 26, 2023
Certified by providerJun 26, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X300080LA
Physician Assistant, Surgical363AS0400X300080LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (LA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients16
Services billed18 across 5 procedure codes
Paid by Medicare$1,525

Part D prescriptions in 2024

Prescriptions (claims)42 · 42 30-day fills
Patients25
Total drug cost$862.03
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Medical schoolLouisiana State University School of Medicine in Shreveport
Graduation year2015
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Lafayette

All 88 physician assistants in Lafayette · All physician assistants in Louisiana