Carrie S. Fortman, PAC
NPI 1336211549ActiveIndividual· Physician Assistant· Elgin, IL
Physician Assistant (PAC) in Elgin, Illinois, licensed in IL, with an NPI issued in November 2006. Part D covered 61 prescriptions written in 2024, 18% of them generic.
Overview
| NPI | 1336211549 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Mar 11, 2020 |
| Certified by provider | Mar 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085001080 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 61 · 158 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $26,630 |
| Generic share | 18% 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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