Edward Allen Sizemore, ARNP, NP-C
NPI 1467788216ActiveIndividual· Nurse Practitioner, Family· Winchester, KY
Nurse Practitioner, Family (ARNP, NP-C) with Kentucky Mso LLC and 1 other group, practicing in Winchester, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $66,346 for 990 claims, against $14,444 paid for services in 2024. Phathom Pharmaceuticals, Inc. was the largest of 3 companies reporting payments in 2025, $244.34 in all, mostly food and beverage. Lists Georgetown Community Hospital as a hospital affiliation.
Overview
| NPI | 1467788216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP, NP-C |
| Sole proprietor | No |
| NPI issued | Oct 29, 2009 |
| Last updated in NPPES | Jul 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 3006181 | KY |
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 - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 250 across 11 procedure codes |
| Paid by Medicare | $14,444 |
Part D prescriptions in 2024
| Prescriptions (claims) | 990 · 1,109 30-day fills |
|---|---|
| Patients | 164 |
| Total drug cost | $66,346 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Kentucky Mso LLCGeorgetown, KY · 51 clinicians
- Appalachian Wellness LLCCampton, KY · 4 clinicians
Hospital affiliation
- Georgetown Community HospitalGeorgetown, KY
Industry payments (Open Payments)
- 2025$244.34 · 13 payments from 3 companies
- 2024$476.63 · 18 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phathom Pharmaceuticals, Inc. | $200.83 | 11 |
| Abbvie Inc. | $22.58 | 1 |
| Lilly USA, LLC | $20.93 | 1 |
What the 2025 payments were for
- Food and Beverage$244.34 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 family nurse practitioners in Winchester · All family nurse practitioners in Kentucky