Lynde Rouche, PA
NPI 1467588087ActiveIndividual· Physician Assistant, Medical· Concord, CA
Physician Assistant, Medical (PA) with West Coast Kidney, practicing in Concord, California. Their prescriptions cost Medicare Part D more than their services did: $168,211 for 635 claims, against $42,963 paid for services in 2024. Ardelyx, Inc. was the largest of 6 companies reporting payments in 2025, $350.77 in all, mostly food and beverage. Lists Contra Costa Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1467588087 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 26, 2007 |
| Last updated in NPPES | Dec 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA16041 | CA |
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 | 226 |
|---|---|
| Services billed | 591 across 12 procedure codes |
| Paid by Medicare | $42,963 |
Part D prescriptions in 2024
| Prescriptions (claims) | 635 · 1,492 30-day fills |
|---|---|
| Patients | 157 |
| Total drug cost | $168,211 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- West Coast KidneyDaly City, CA · 56 clinicians
Hospital affiliations
- Contra Costa Regional Medical CenterMartinez, CA
- John Muir Medical Center - Concord CampusConcord, CA
Industry payments (Open Payments)
- 2025$350.77 · 12 payments from 6 companies
- 2024$621.59 · 23 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ardelyx, Inc. | $157.53 | 3 |
| Fresenius USA Marketing, Inc. | $72.68 | 3 |
| Amgen Inc. | $57.36 | 3 |
| Aurinia Pharma U.S., Inc. | $28.14 | 1 |
| Calliditas Therapeutics US Inc. | $21.05 | 1 |
What the 2025 payments were for
- Food and Beverage$350.77 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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