Kennedy M. Zaccheo, PA
NPI 1417538117ActiveIndividual· Physician Assistant· Albuquerque, NM
Physician Assistant (PA) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in April 2021. Mostly services rather than prescriptions: Medicare paid $9,247 for 117 patients in 2024, with only 20 Part D claims.
Overview
| NPI | 1417538117 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Apr 15, 2021 |
| Last updated in NPPES | Oct 13, 2022 |
| Certified by provider | Oct 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2022-0056 | NM |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 344 across 40 procedure codes |
| Paid by Medicare | $9,247 |
Part D prescriptions in 2024
| Prescriptions (claims) | 20 · 22 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $160.27 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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