Gary Fannon, P.A.
NPI 1447512819ActiveIndividual· Physician Assistant, Medical· Flint, MI
Physician Assistant, Medical (P.A.) with Legacy Physician Group PC, practicing in Flint, Michigan. Their prescriptions cost Medicare Part D more than their services did: $20,554 for 1,775 claims, against $11,771 paid for services in 2024.
Overview
| NPI | 1447512819 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Jun 12, 2012 |
| Last updated in NPPES | Jun 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 118 |
|---|---|
| Services billed | 1,068 across 42 procedure codes |
| Paid by Medicare | $11,771 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,775 · 1,797 30-day fills |
|---|---|
| Patients | 1,173 |
| Total drug cost | $20,554 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Legacy Physician Group PCLansing, MI · 11 clinicians
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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