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Nicholas J. Grande Jr., PAC

NPI 1316085756ActiveIndividual· Physician Assistant, Medical· Davenport, IA

Physician Assistant, Medical (PAC) with Carbon Health Medical Group of California PC, practicing in Davenport, Iowa. Mostly services rather than prescriptions: Medicare paid $2,278 for 49 patients in 2024, with only 38 Part D claims.

Overview

NPI1316085756
StatusActive
Entity typeIndividual
CredentialPAC
Sole proprietorNo
NPI issuedFeb 1, 2007
Last updated in NPPESFeb 16, 2023
Certified by providerFeb 16, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X——

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 (CA); Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients49
Services billed55 across 8 procedure codes
Paid by Medicare$2,278

Part D prescriptions in 2024

Prescriptions (claims)38 · 38 30-day fills
Patients32
Total drug cost$179.21
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2006
Medicare specialtyPhysician Assistant

Medical group

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, Medical providers in Davenport

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