Marisa H. McKibban, P.A.
NPI 1174607600ActiveIndividual· Physician Assistant· East Orange, NJ
Physician Assistant (P.A.) in East Orange, New Jersey, licensed in NJ, with an NPI issued in October 2006. 83 Medicare patients in 2024, $5,875 paid; nearly all of their 107 Part D prescriptions were generic (94%).
Overview
| NPI | 1174607600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | Yes |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Nov 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00167000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 94 across 13 procedure codes |
| Paid by Medicare | $5,875 |
Part D prescriptions in 2024
| Prescriptions (claims) | 107 · 107 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $4,873 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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