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Kenneth Nicley, PA

NPI 1306252598ActiveIndividual· Physician Assistant· Maynardville, TN

Physician Assistant (PA) in Maynardville, Tennessee, trained at Lincoln Memorial University Medical Department (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $843,894 for 7,768 claims, against $32,034 paid for services in 2024. Abbvie Inc. was the largest of 11 companies reporting payments in 2025, $651.99 in all, mostly food and beverage.

Overview

NPI1306252598
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedJul 8, 2014
Last updated in NPPESJan 21, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X2416TN

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 (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients82
Services billed2,082 across 81 procedure codes
Paid by Medicare$32,034

Part D prescriptions in 2024

Prescriptions (claims)7,768 · 13,731 30-day fills
Patients355
Total drug cost$843,894
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Medical schoolLincoln Memorial University Medical Department
Graduation year2013
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$651.99 · 30 payments from 11 companies
  • 2024$553.18 · 32 payments from 13 companies

Top paying companies in 2025

CompanyAmountPayments
Abbvie Inc.$164.6311
Antares Pharma, Inc.$128.501
Pfizer Inc.$88.564
Novo Nordisk Inc$57.783
Lilly USA, LLC$56.703

What the 2025 payments were for

  • Food and Beverage$651.99 · 30 payments

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

Other Physician Assistant providers in Maynardville

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