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Jordan Richard Pothast, PA

NPI 1194125120ActiveIndividual· Physician Assistant· Lima, OH

Physician Assistant (PA) with Extended Care Specialists, Inc and 2 other groups, practicing in Lima, Ohio. In 2024 Medicare paid $94,656 for 408 patients, and Part D covered 1,722 of their prescriptions, 84% of them generic.

Overview

NPI1194125120
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedAug 27, 2014
Last updated in NPPESAug 20, 2021
Certified by providerAug 20, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X50.006748RXOH
Emergency Medicine207P00000X50.006748RXOH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients408
Services billed1,669 across 13 procedure codes
Paid by Medicare$94,656

Part D prescriptions in 2024

Prescriptions (claims)1,722 · 1,771 30-day fills
Patients225
Total drug cost$116,116
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Lima

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