Nicholas Ian Longstreet, M.D.
NPI 1245593623ActiveIndividual· Family Medicine· Tyndall Afb, FL
Family Medicine (M.D.) with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, practicing in Tyndall Afb, Florida. Their prescriptions cost Medicare Part D more than their services did: $186,708 for 3,808 claims, against $3,022 paid for services in 2024.
Overview
| NPI | 1245593623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 20, 2012 |
| Last updated in NPPES | May 2, 2022 |
| Certified by provider | May 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 27702 | NE |
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 - Family Practice (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 56 across 11 procedure codes |
| Paid by Medicare | $3,022 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,808 · 9,368 30-day fills |
|---|---|
| Patients | 346 |
| Total drug cost | $186,708 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncLargo, MD · 1,899 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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