NPI 1457647281
NPI 1457647281DeactivatedUnknown
This NPI was deactivated on Mar 12, 2026. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in March 2026. Provider. 393 Medicare patients in 2024, $290,798 paid; nearly all of their 558 Part D prescriptions were generic (94%).
Overview
| NPI | 1457647281 |
|---|---|
| Status | Deactivated Mar 12, 2026 |
| Entity type | Unknown |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 393 |
|---|---|
| Services billed | 8,394 across 65 procedure codes |
| Paid by Medicare | $290,798 |
Part D prescriptions in 2024
| Prescriptions (claims) | 558 · 914 30-day fills |
|---|---|
| Patients | 254 |
| Total drug cost | $21,422 |
| Generic share | 94% of claims |