Karmela L. Bachman, PA-C
NPI 1174136246ActiveIndividual· Physician Assistant· Rapid City, SD
Physician Assistant (PA-C) with Monument Health Rapid City Hospital Inc, practicing in Rapid City, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $244,402 for 220 claims, against $5,752 paid for services in 2024. Smith+nephew, Inc. was the largest of 7 companies reporting payments in 2025, $303.16 in all, mostly food and beverage. Lists Monument Health Custer Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1174136246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 28, 2020 |
| Last updated in NPPES | Feb 8, 2021 |
| Certified by provider | Feb 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 182 across 37 procedure codes |
| Paid by Medicare | $5,752 |
Part D prescriptions in 2024
| Prescriptions (claims) | 220 · 222 30-day fills |
|---|---|
| Patients | 86 |
| Total drug cost | $244,402 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Monument Health Rapid City Hospital IncRapid City, SD · 564 clinicians
Hospital affiliations
- Monument Health Custer HospitalCuster, SD
- Monument Health Rapid City HospitalRapid City, SD
- Same Day Surgery Center LLCRapid City, SD
Industry payments (Open Payments)
- 2025$303.16 · 13 payments from 7 companies
- 2024$169.40 · 5 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $171.96 | 7 |
| Polynovo North America LLC | $30.15 | 1 |
| Organogenesis Inc. | $29.59 | 1 |
| Solventum Corporation | $20.76 | 1 |
| Heron Therapeutics, Inc. | $18.04 | 1 |
What the 2025 payments were for
- Food and Beverage$303.16 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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