Holly Suzanne Peterson, PA-C
NPI 1285278614ActiveIndividual· Physician Assistant· Rexburg, ID
Physician Assistant (PA-C) with Mountain View Hospital LLC and 1 other group, practicing in Rexburg, Idaho. Their prescriptions cost Medicare Part D more than their services did: $7,551 for 143 claims, against $3,320 paid for services in 2024. Astellas Pharma US Inc reported $67.24 in payments in 2024, mostly food and beverage. Lists Idaho Falls Community Hospital, LLC as a hospital affiliation.
Overview
| NPI | 1285278614 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 29, 2019 |
| Last updated in NPPES | Aug 26, 2024 |
| Certified by provider | Aug 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1814 | 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 | 47 |
|---|---|
| Services billed | 90 across 31 procedure codes |
| Paid by Medicare | $3,320 |
Part D prescriptions in 2024
| Prescriptions (claims) | 143 · 206 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $7,551 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Mountain View Hospital LLCIdaho Falls, ID · 276 clinicians
- Upper Valley Community Health Services IncSaint Anthony, ID · 31 clinicians
Hospital affiliation
- Idaho Falls Community Hospital, LLCIdaho Falls, ID
Industry payments (Open Payments)
- 2024$67.24 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $67.24 | 2 |
What the 2024 payments were for
- Food and Beverage$67.24 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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