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Autum Michole Caldwell, P.A. - C

NPI 1396093647ActiveIndividual· Physician Assistant· Tulsa, OK

Physician Assistant (P.A. - C) with Southside Dermatology PLLC, practicing in Tulsa, Oklahoma. Their prescriptions cost Medicare Part D more than their services did: $697,642 for 914 claims, against $118,918 paid for services in 2024. Regeneron Healthcare Solutions, Inc. was the largest of 20 companies reporting payments in 2025, $2,208 in all, mostly food and beverage.

Overview

NPI1396093647
StatusActive
Entity typeIndividual
CredentialP.A. - C
Sole proprietorNo
NPI issuedAug 16, 2012
Last updated in NPPESNov 12, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X2114OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (OK)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients457
Services billed2,692 across 46 procedure codes
Paid by Medicare$118,918

Part D prescriptions in 2024

Prescriptions (claims)914 · 1,019 30-day fills
Patients363
Total drug cost$697,642
Generic share85% of claims

Medicare sources and data years

Education and affiliations

Graduation year2012
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,208 · 86 payments from 20 companies
  • 2024$1,578 · 77 payments from 19 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$2,107 · 84 payments
  • Education$101.43 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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