Stephanie Agoncillo, PA-C
NPI 1427425172ActiveIndividual· Physician Assistant· Santa Cruz, CA
Physician Assistant (PA-C) with Sutter Bay Medical Foundation, practicing in Santa Cruz, California. 71 Medicare patients in 2024, $7,305 paid; all of their 52 Part D prescriptions were generic. Davol Inc. reported $139.59 in payments in 2024, mostly food and beverage. Lists Dominican Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1427425172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 28, 2015 |
| Last updated in NPPES | Nov 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 53464 | CA |
| Physician Assistant | 363A00000X | — | NC |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 95 across 38 procedure codes |
| Paid by Medicare | $7,305 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 58 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $571.95 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliations
- Dominican HospitalSanta Cruz, CA
- Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CA
Industry payments (Open Payments)
- 2024$139.59 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $139.59 | 1 |
What the 2024 payments were for
- Food and Beverage$139.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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