Kevin Michael Fordell, P.A.
NPI 1417107822ActiveIndividual· Emergency Medicine· Mesa, AZ
Emergency Medicine (P.A.) in Mesa, Arizona, licensed in AZ, with an NPI issued in September 2008. 124 Medicare patients in 2024, $11,566 paid; nearly all of their 194 Part D prescriptions were generic (95%). Csl Behring reported $20.41 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1417107822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | Yes |
| NPI issued | Sep 22, 2008 |
| Last updated in NPPES | Mar 1, 2023 |
| Certified by provider | Mar 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 4295 | AZ |
| Physician Assistant | 363A00000X | 4295 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 124 |
|---|---|
| Services billed | 133 across 9 procedure codes |
| Paid by Medicare | $11,566 |
Part D prescriptions in 2024
| Prescriptions (claims) | 194 · 196 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $3,295 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
- 2024$20.41 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $20.41 | 1 |
What the 2024 payments were for
- Food and Beverage$20.41 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 68 emergency medicine physicians in Mesa · All emergency medicine physicians in Arizona