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Keith Fertey Moy, PA STUDENT

NPI 1275171795ActiveIndividual· Physician Assistant· Elk River, MN

Physician Assistant (PA STUDENT) with Group Health Inc, practicing in Elk River, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $58,095 for 1,140 claims, against $13,977 paid for services in 2024. Lists Mercy Hospital as a hospital affiliation.

Overview

NPI1275171795
StatusActive
Entity typeIndividual
CredentialPA STUDENT
Sole proprietorNo
NPI issuedDec 16, 2019
Last updated in NPPESSep 9, 2021
Certified by providerSep 9, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X13657MN

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 (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients95
Services billed366 across 51 procedure codes
Paid by Medicare$13,977

Part D prescriptions in 2024

Prescriptions (claims)1,140 · 2,350 30-day fills
Patients195
Total drug cost$58,095
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

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 Elk River

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