Kenneth E. Mathis, P.A.
NPI 1518053719ActiveIndividual· Physician Assistant· Farmington, NY
Physician Assistant (P.A.) in Farmington, New York, licensed in NY, with an NPI issued in October 2006. Part D covered 23 prescriptions written in 2024, 78% of them generic.
Overview
| NPI | 1518053719 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | Yes |
| NPI issued | Oct 5, 2006 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 003372 | NY |
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 (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 27 30-day fills |
|---|---|
| Total drug cost | $2,596 |
| Generic share | 78% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Farmington
- 1184261372
- 1184826018
- 1366068538