Mark Edwin Lightowler II, PA-C
NPI 1376000869ActiveIndividual· Physician Assistant· Bridgeport, CT
Physician Assistant (PA-C) in Bridgeport, Connecticut, trained at Tufts University School of Medicine (class of 2019). 49 Medicare patients in 2024, $5,801 paid; nearly all of their 284 Part D prescriptions were generic (96%). Si-Bone, Inc. was the largest of 2 companies reporting payments in 2025, $146.62 in all, mostly food and beverage.
Overview
| NPI | 1376000869 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 21, 2019 |
| Last updated in NPPES | Oct 23, 2024 |
| Certified by provider | Oct 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5633 | CT |
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 (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 51 across 20 procedure codes |
| Paid by Medicare | $5,801 |
Part D prescriptions in 2024
| Prescriptions (claims) | 284 · 285 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $4,172 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physician Assistant |
Medical groups
- Hartford Healthcare Medical Group Specialists PLLCBridgeport, CT · 1,588 clinicians
- Midstate Medical CenterMeriden, CT · 186 clinicians
- Connecticut Orthopaedic Specialists PCFairfield, CT · 180 clinicians
Hospital affiliation
- St Vincent's Medical CenterBridgeport, CT
Industry payments (Open Payments)
- 2025$146.62 · 2 payments from 2 companies
- 2024$306.15 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Si-Bone, Inc. | $100.56 | 1 |
| Smith+nephew, Inc. | $46.06 | 1 |
What the 2025 payments were for
- Food and Beverage$146.62 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 141 physician assistants in Bridgeport · All physician assistants in Connecticut