Wyatt Randolph Eddy, MS, MMS, PA-C
NPI 1285016394ActiveIndividual· Physician Assistant, Medical· Kingman, AZ
Physician Assistant, Medical (MS, MMS, PA-C) in Kingman, Arizona, licensed in AZ, with an NPI issued in June 2015. 313 Medicare patients in 2024, $33,437 paid; nearly all of their 386 Part D prescriptions were generic (96%).
Overview
| NPI | 1285016394 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, MMS, PA-C |
| Sole proprietor | No |
| NPI issued | Jun 25, 2015 |
| Last updated in NPPES | Dec 23, 2020 |
| Certified by provider | Dec 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 6055 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 313 |
|---|---|
| Services billed | 382 across 29 procedure codes |
| Paid by Medicare | $33,437 |
Part D prescriptions in 2024
| Prescriptions (claims) | 386 · 394 30-day fills |
|---|---|
| Patients | 263 |
| Total drug cost | $3,214 |
| Generic share | 96% of claims |
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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