Tate Coltan Staker, PA-C
NPI 1184253585ActiveIndividual· Physician Assistant· Rexburg, ID
Physician Assistant (PA-C) with Mountain View Hospital LLC, practicing in Rexburg, Idaho. Part D covered 237 prescriptions written in 2024, 94% of them generic. Lilly USA, LLC was the largest of 2 companies reporting payments in 2025, $27.77 in all, mostly food and beverage. Lists Mountain View Hospital as a hospital affiliation.
Overview
| NPI | 1184253585 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Apr 7, 2020 |
| Last updated in NPPES | Oct 28, 2021 |
| Certified by provider | Oct 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1932 | ID |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 237 · 242 30-day fills |
|---|---|
| Patients | 160 |
| Total drug cost | $7,358 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mountain View Hospital LLCIdaho Falls, ID · 276 clinicians
Hospital affiliation
- Mountain View HospitalIdaho Falls, ID
Industry payments (Open Payments)
- 2025$27.77 · 2 payments from 2 companies
- 2024$23.85 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $14.09 | 1 |
| Boston Scientific Corporation | $13.68 | 1 |
What the 2025 payments were for
- Food and Beverage$27.77 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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