Andrew Mirocke, MD
NPI 1174017958ActiveIndividual· Emergency Medicine· Jonesboro, AR
Emergency Medicine (MD) with Southeastern Emergency Physicians LLC and 4 other groups, practicing in Jonesboro, Arkansas. 511 Medicare patients in 2024, $60,154 paid; nearly all of their 269 Part D prescriptions were generic (96%). Mindray Ds USA, Inc. reported $17.89 in payments in 2024, mostly food and beverage. Lists Baptist Health Deaconess Madisonville and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1174017958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 15, 2018 |
| Last updated in NPPES | Apr 11, 2024 |
| Certified by provider | Apr 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 4301115689 | MI |
| Emergency Medicine | 207P00000X | 58430 | KY |
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 - Emergency Medicine (AR); Practitioner - Emergency Medicine (KY); Practitioner - Emergency Medicine (NC); Practitioner - Emergency Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 511 |
|---|---|
| Services billed | 643 across 20 procedure codes |
| Paid by Medicare | $60,154 |
Part D prescriptions in 2024
| Prescriptions (claims) | 269 · 271 30-day fills |
|---|---|
| Patients | 194 |
| Total drug cost | $3,413 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical groups
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
- Emergency Coverage LLCRichmond, VA · 775 clinicians
- Baptist Health Deaconess Medical Group IncDawson Springs, KY · 246 clinicians
- West Fairview Emergency Physicians LLCAshland, KY · 44 clinicians
- Eagle Creek Emergency Group, PCParis, TN · 23 clinicians
Hospital affiliations
- Baptist Health Deaconess MadisonvilleMadisonville, KY
- Baptist Health PaducahPaducah, KY
- Memorial Mission Hospital and Asheville Surgery CeAsheville, NC
- St Marys Regional Medical CenterRussellville, AR
- West Tennessee Healthcare Henry County HospitalParis, TN
Industry payments (Open Payments)
- 2024$17.89 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Mindray Ds USA, Inc. | $17.89 | 1 |
What the 2024 payments were for
- Food and Beverage$17.89 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 emergency medicine physicians in Jonesboro · All emergency medicine physicians in Arkansas