Kaela Bacon, PA
NPI 1164930616ActiveIndividual· Physician Assistant· Tampa, FL
Physician Assistant (PA) with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc and 1 other group, practicing in Tampa, Florida. 30 Medicare patients in 2024, $2,166 paid; nearly all of their 56 Part D prescriptions were generic (98%). Amgen Inc. reported $240.92 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1164930616 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 18, 2018 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9110761 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 38 across 12 procedure codes |
| Paid by Medicare | $2,166 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 60 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $506.54 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr IncTampa, FL · 1,178 clinicians
- Fmc Urgent Care LLCWesley Chapel, FL · 19 clinicians
Industry payments (Open Payments)
- 2024$240.92 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $240.92 | 2 |
What the 2024 payments were for
- Food and Beverage$240.92 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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