Stacy Cooper, PA-C
NPI 1518157544ActiveIndividual· Physician Assistant, Medical· Blackfoot, ID
Physician Assistant, Medical (PA-C) with St Lukes Clinic-Treasure Valley LLC, practicing in Blackfoot, Idaho. Their prescriptions cost Medicare Part D more than their services did: $36,262 for 565 claims, against $6,091 paid for services in 2024. Mayne Pharma Commercial LLC reported $152.59 in payments in 2025, mostly food and beverage. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1518157544 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 26, 2007 |
| Last updated in NPPES | May 1, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA648 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 130 across 11 procedure codes |
| Paid by Medicare | $6,091 |
Part D prescriptions in 2024
| Prescriptions (claims) | 565 · 1,166 30-day fills |
|---|---|
| Patients | 150 |
| Total drug cost | $36,262 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$152.59 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mayne Pharma Commercial LLC | $152.59 | 3 |
What the 2025 payments were for
- Food and Beverage$152.59 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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