J Benjamin Matheny, PA
NPI 1255325098ActiveIndividual· Physician Assistant, Medical· Kokomo, IN
Physician Assistant, Medical (PA) with Community Physicians of Indiana Inc, practicing in Kokomo, Indiana. Their prescriptions cost Medicare Part D more than their services did: $669,799 for 6,308 claims, against $34,873 paid for services in 2024. Abbvie Inc. was the largest of 24 companies reporting payments in 2025, $1,677 in all, mostly food and beverage. Lists Community Howard Regional Health Inc. as a hospital affiliation.
Overview
| NPI | 1255325098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 8, 2005 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Sep 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 10000550A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 580 across 31 procedure codes |
| Paid by Medicare | $34,873 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,308 · 12,288 30-day fills |
|---|---|
| Patients | 630 |
| Total drug cost | $669,799 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Community Physicians of Indiana IncIndianapolis, IN · 1,565 clinicians
Hospital affiliation
- Community Howard Regional Health Inc.Kokomo, IN
Other facilities
- Ascension at HomeHome health agency · Pendleton, IN
Industry payments (Open Payments)
- 2025$1,677 · 105 payments from 24 companies
- 2024$1,402 · 90 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $305.05 | 26 |
| Astrazeneca Pharmaceuticals LP | $216.54 | 18 |
| Pfizer Inc. | $196.80 | 11 |
| Axsome Therapeutics, Inc. | $196.00 | 7 |
| Amgen Inc. | $104.03 | 6 |
What the 2025 payments were for
- Food and Beverage$1,677 · 105 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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