Ryane Elaine Fitzwater, PA
NPI 1336499458ActiveIndividual· Physician Assistant, Medical· Farmington, MO
Physician Assistant, Medical (PA) with Physician Groups Lc, practicing in Farmington, Missouri. Their prescriptions cost Medicare Part D more than their services did: $350,520 for 3,142 claims, against $27,268 paid for services in 2024. Zoll Services LLC (A/K/A Zoll Lifecor Corp) was the largest of 8 companies reporting payments in 2025, $238.51 in all, mostly food and beverage. Lists Madison Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1336499458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 17, 2012 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Dec 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 2012035050 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 283 |
|---|---|
| Services billed | 488 across 19 procedure codes |
| Paid by Medicare | $27,268 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,142 · 5,991 30-day fills |
|---|---|
| Patients | 488 |
| Total drug cost | $350,520 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Physician Groups LcFarmington, MO · 521 clinicians
Hospital affiliations
- Madison Medical CenterFredericktown, MO
- Parkland Health CenterFarmington, MO
Industry payments (Open Payments)
- 2025$238.51 · 15 payments from 8 companies
- 2024$394.92 · 20 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $51.71 | 6 |
| E.R. Squibb & Sons, L.L.C. | $41.71 | 2 |
| Amgen Inc. | $36.72 | 2 |
| Boston Scientific Corporation | $36.45 | 1 |
| Scpharmaceuticals Inc. | $23.05 | 1 |
What the 2025 payments were for
- Food and Beverage$238.51 · 15 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records