Jacob D. Ludvik, PHYSICIAN ASSISTANT
NPI 1427585322ActiveIndividual· Physician Assistant· Redlands, CA
Physician Assistant (PHYSICIAN ASSISTANT) with Southern California Permanente Medical Group, practicing in Redlands, California. Their prescriptions cost Medicare Part D more than their services did: $2,046 for 202 claims, against $918.53 paid for services in 2024. Lists Kaiser Foundation Hospital - Downey as a hospital affiliation.
Overview
| NPI | 1427585322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | May 23, 2017 |
| Last updated in NPPES | Dec 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 21 |
|---|---|
| Services billed | 39 across 12 procedure codes |
| Paid by Medicare | $918.53 |
Part D prescriptions in 2024
| Prescriptions (claims) | 202 · 209 30-day fills |
|---|---|
| Patients | 118 |
| Total drug cost | $2,046 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
- Kaiser Foundation Hospital - DowneyDowney, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Redlands
- 1174079347
- 1972744399
- 1699371773
- 1285285080
- 1275902280
- 1619382363
- 1336574425
- 1093989949
- 1952707010
- 1184664070
- 1407371602
- 1023736022