Carly Petrie, PA
NPI 1265158810ActiveIndividual· Physician Assistant, Surgical· Meridian, ID
Physician Assistant, Surgical (PA) with St Lukes Clinic-Treasure Valley LLC, practicing in Meridian, Idaho. Their prescriptions cost Medicare Part D more than their services did: $7,736 for 90 claims, against $5,135 paid for services in 2024. Intuitive Surgical, Inc. reported $116.63 in payments in 2024, mostly food and beverage. Lists St Luke's Nampa Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1265158810 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Oct 17, 2022 |
| Last updated in NPPES | Nov 11, 2022 |
| Certified by provider | Nov 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA-2393 | ID |
| Physician Assistant, Surgical | 363AS0400X | — | ID |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 94 across 17 procedure codes |
| Paid by Medicare | $5,135 |
Part D prescriptions in 2024
| Prescriptions (claims) | 90 · 96 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $7,736 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliations
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2024$116.63 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $116.63 | 1 |
What the 2024 payments were for
- Food and Beverage$116.63 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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