Kelly Leigh Mack, PA-C
NPI 1396813960ActiveIndividual· Physician Assistant, Medical· Prince Frederick, MD
Physician Assistant, Medical (PA-C) with Elite Dermatology, PLLC, practicing in Prince Frederick, Maryland. Their prescriptions cost Medicare Part D more than their services did: $211,666 for 551 claims, against $42,698 paid for services in 2024. Sun Pharmaceutical Industries Inc. was the largest of 21 companies reporting payments in 2025, $2,910 in all, mostly food and beverage.
Overview
| NPI | 1396813960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 1, 2006 |
| Last updated in NPPES | Aug 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA07662 | TX |
| Physician Assistant, Medical | 363AM0700X | PA18061 | CA |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 236 |
|---|---|
| Services billed | 1,133 across 35 procedure codes |
| Paid by Medicare | $42,698 |
Part D prescriptions in 2024
| Prescriptions (claims) | 551 · 651 30-day fills |
|---|---|
| Patients | 195 |
| Total drug cost | $211,666 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Elite Dermatology, PLLCFulshear, TX · 29 clinicians
Industry payments (Open Payments)
- 2025$2,910 · 154 payments from 21 companies
- 2024$3,683 · 184 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | $334.83 | 14 |
| Janssen Biotech, Inc. | $331.34 | 14 |
| Lilly USA, LLC | $321.04 | 13 |
| Abbvie Inc. | $297.14 | 24 |
| Novartis Pharmaceuticals Corporation | $242.10 | 15 |
What the 2025 payments were for
- Food and Beverage$2,768 · 152 payments
- Education$142.32 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Prince Frederick
- 1164899241
- 1598276826
- 1700215431
- 1457305682
- 1295774438