Tony Albert Fantozzi, PA-C
NPI 1346231289ActiveIndividual· Physician Assistant, Medical· Libby, MT
Physician Assistant, Medical (PA-C) with Providence St Joseph Medical Center and 1 other group, practicing in Libby, Montana. Their prescriptions cost Medicare Part D more than their services did: $273,008 for 2,348 claims, against $559.10 paid for services in 2024. Lists Cabinet Peaks Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1346231289 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 31, 2005 |
| Last updated in NPPES | Apr 20, 2025 |
| Certified by provider | Apr 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 435 | MT |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 55 across 7 procedure codes |
| Paid by Medicare | $559.10 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,348 · 4,525 30-day fills |
|---|---|
| Patients | 352 |
| Total drug cost | $273,008 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Providence St Joseph Medical CenterPolson, MT · 53 clinicians
- St Johns Lutheran Hospital IncLibby, MT · 34 clinicians
Hospital affiliations
- Cabinet Peaks Medical CenterLibby, MT
- Providence St Joseph Medical CenterPolson, MT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Libby
- 1174484513