Lance R. Keck, PA-C
NPI 1174793590ActiveIndividual· Physician Assistant· Tacoma, WA
Physician Assistant (PA-C) in Tacoma, Washington, trained at University of Washington School of Medicine (class of 2008). Their prescriptions cost Medicare Part D more than their services did: $10,052 for 288 claims, against $5,268 paid for services in 2024. Intuitive Surgical, Inc. was the largest of 4 companies reporting payments in 2025, $42,579 in all, mostly education.
Overview
| NPI | 1174793590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 3, 2008 |
| Last updated in NPPES | Dec 4, 2020 |
| Certified by provider | Dec 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60109612 | WA |
| Physician Assistant, Surgical | 363AS0400X | PA01360 | OR |
| Physician Assistant, Surgical | 363AS0400X | PA60109612 | WA |
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 (TX); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 46 across 27 procedure codes |
| Paid by Medicare | $5,268 |
Part D prescriptions in 2024
| Prescriptions (claims) | 288 · 315 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $10,052 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliations
- Capital Medical CenterOlympia, WA
- Multicare Auburn Medical CenterAuburn, WA
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
- 2025$42,579 · 90 payments from 4 companies
- 2024$30,824 · 75 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $42,464 | 85 |
| Getinge USA Sales, LLC | $67.66 | 3 |
| Lsi Solutions Inc | $28.61 | 1 |
| Becton, Dickinson and Company | $18.47 | 1 |
What the 2025 payments were for
- Education$32,200 · 28 payments
- Travel and Lodging$10,022 · 48 payments
- Food and Beverage$356.71 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Tacoma
- 1003843525
- 1053324186
- 1083948731
- 1114131000
- 1144733668
- 1164709085
- 1174296313
- 1275520066
- 1285142315
- 1295701803
- 1295846574
- 1326718701
All 332 physician assistants in Tacoma · All physician assistants in Washington