Kodi J. Puckett, PA
NPI 1184004475ActiveIndividual· Physician Assistant, Medical· Va Beach, VA
Physician Assistant, Medical (PA) in Va Beach, Virginia, trained at Eastern Virginia Medical School (class of 2015). 247 Medicare patients in 2024, $24,234 paid; nearly all of their 435 Part D prescriptions were generic (92%).
Overview
| NPI | 1184004475 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 2, 2015 |
| Last updated in NPPES | Sep 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | VA |
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 (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 360 across 17 procedure codes |
| Paid by Medicare | $24,234 |
Part D prescriptions in 2024
| Prescriptions (claims) | 435 · 452 30-day fills |
|---|---|
| Patients | 216 |
| Total drug cost | $4,280 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Physician Assistant |
Medical group
- Emergency Physicians of TidewaterSuffolk, VA · 175 clinicians
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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