Makayla Marie Dickovich, PA-C
NPI 1457042236ActiveIndividual· Physician Assistant, Medical· Waconia, MN
Physician Assistant, Medical (PA-C) with Lakeview Clinic, Ltd., practicing in Waconia, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $25,985 for 668 claims, against $16,731 paid for services in 2024. Lists Ridgeview Medical Center as a hospital affiliation.
Overview
| NPI | 1457042236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 15, 2023 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 459 across 61 procedure codes |
| Paid by Medicare | $16,731 |
Part D prescriptions in 2024
| Prescriptions (claims) | 668 · 965 30-day fills |
|---|---|
| Patients | 269 |
| Total drug cost | $25,985 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lakeview Clinic, Ltd.Chaska, MN · 52 clinicians
Hospital affiliation
- Ridgeview Medical CenterWaconia, MN
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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