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Ethan Klausmeyer, PA-C

NPI 1174162481ActiveIndividual· Physician Assistant· Warwick, RI

Physician Assistant (PA-C) in Warwick, Rhode Island, licensed in RI and MD, with an NPI issued in January 2020. 146 Medicare patients in 2024, $15,697 paid; nearly all of their 69 Part D prescriptions were generic (94%).

Overview

NPI1174162481
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJan 3, 2020
Last updated in NPPESAug 6, 2025
Certified by providerAug 6, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA01425RI
Physician Assistant363A00000XC0009110MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients146
Services billed172 across 22 procedure codes
Paid by Medicare$15,697

Part D prescriptions in 2024

Prescriptions (claims)69 · 69 30-day fills
Patients49
Total drug cost$632.95
Generic share94% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Physician Assistant providers in Warwick

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