Nolan Mark Renner, PA-C
NPI 1174914758ActiveIndividual· Physician Assistant, Surgical· Fort Walton Beach, FL
Physician Assistant, Surgical (PA-C) with Hughston Clinic Southeast PC, practicing in Fort Walton Beach, Florida. Mostly services rather than prescriptions: Medicare paid $20,770 for 142 patients in 2024, with only 16 Part D claims. Cgg Medical Inc was the largest of 3 companies reporting payments in 2025, $170.41 in all, mostly food and beverage. Lists HCA Florida Fort Walton-Destin Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1174914758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 18, 2015 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA9108565 | FL |
| Physician Assistant | 363A00000X | PA 9108565 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 142 |
|---|---|
| Services billed | 305 across 57 procedure codes |
| Paid by Medicare | $20,770 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 16 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $369.49 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Hughston Clinic Southeast PCMontgomery, AL · 49 clinicians
Hospital affiliations
- HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL
- North Okaloosa Medical CenterCrestview, FL
Industry payments (Open Payments)
- 2025$170.41 · 3 payments from 3 companies
- 2024$46.15 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cgg Medical Inc | $118.02 | 1 |
| Solventum Corporation | $29.00 | 1 |
| Depuy Synthes Sales Inc. | $23.39 | 1 |
What the 2025 payments were for
- Food and Beverage$170.41 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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