Kenneth Cushing Botelho, PA-C
NPI 1184977514ActiveIndividual· Physician Assistant· East Providence, RI
Physician Assistant (PA-C) with The Duluth Clinic Ltd, practicing in East Providence, Rhode Island. Their prescriptions cost Medicare Part D more than their services did: $457,964 for 5,411 claims, against $38,133 paid for services in 2024. Abbvie Inc. reported $34.00 in payments in 2025, mostly food and beverage. Lists Essentia Health Duluth and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1184977514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 23, 2012 |
| Last updated in NPPES | May 16, 2025 |
| Certified by provider | May 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA00716 | RI |
| Physician Assistant | 363A00000X | 15285 | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 241 |
|---|---|
| Services billed | 725 across 27 procedure codes |
| Paid by Medicare | $38,133 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,411 · 11,027 30-day fills |
|---|---|
| Patients | 744 |
| Total drug cost | $457,964 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- The Duluth Clinic LtdHermantown, MN · 1,144 clinicians
Hospital affiliations
- Essentia Health DuluthDuluth, MN
- Essentia Health Moose LakeMoose Lake, MN
- Essentia Health St Mary's Medical CenterDuluth, MN
Industry payments (Open Payments)
- 2025$34.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $34.00 | 1 |
What the 2025 payments were for
- Food and Beverage$34.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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