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Paulina Purnama, PA-C

NPI 1275724981ActiveIndividual· Physician Assistant, Surgical· Fort Worth, TX

Physician Assistant, Surgical (PA-C) with Southlake Orthopedics and Sports Medicine PLLC, practicing in Fort Worth, Texas. Mostly services rather than prescriptions: Medicare paid $4,984 for 36 patients in 2024, with only 27 Part D claims. Stryker Corporation was the largest of 7 companies reporting payments in 2025, $1,437 in all, mostly travel and lodging. Lists Baylor Medical Center at Trophy Club and 3 other hospitals as hospital affiliations.

Overview

NPI1275724981
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedAug 7, 2007
Last updated in NPPESMay 3, 2025
Certified by providerMay 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400XPA11021TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients36
Services billed85 across 22 procedure codes
Paid by Medicare$4,984

Part D prescriptions in 2024

Prescriptions (claims)27 · 27 30-day fills
Patients12
Total drug cost$216.53
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2007
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,437 · 16 payments from 7 companies
  • 2024$847.75 · 9 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Travel and Lodging$908.85 · 2 payments
  • Food and Beverage$528.31 · 14 payments

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

Other surgical physician assistants in Fort Worth

All 81 surgical physician assistants in Fort Worth · All surgical physician assistants in Texas