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Jon Derik Mortensen, PAC

NPI 1407930456ActiveIndividual· Physician Assistant, Medical· Lakewood, WA

Physician Assistant, Medical (PAC) with Community Health Care, practicing in Lakewood, Washington. Part D covered 3,494 prescriptions written in 2024, 88% of them generic. Bayer Healthcare Pharmaceuticals Inc. was the largest of 3 companies reporting payments in 2025, $356.65 in all, mostly food and beverage. Lists St Joseph Medical Center as a hospital affiliation.

Overview

NPI1407930456
StatusActive
Entity typeIndividual
CredentialPAC
Sole proprietorNo
NPI issuedOct 25, 2006
Last updated in NPPESJun 14, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA10005073WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WA)

Part D prescriptions in 2024

Prescriptions (claims)3,494 · 7,009 30-day fills
Patients244
Total drug cost$326,828
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2006
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$356.65 · 3 payments from 3 companies
  • 2024$69.76 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$356.65 · 3 payments

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

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