Ethan Evankow, PA
NPI 1528580966ActiveIndividual· Physician Assistant, Medical· Dover Foxcroft, ME
Physician Assistant, Medical (PA) in Dover Foxcroft, Maine, licensed in ME and VT, with an NPI issued in July 2017. 154 Medicare patients in 2024, $15,808 paid; nearly all of their 382 Part D prescriptions were generic (97%).
Overview
| NPI | 1528580966 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 7, 2017 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA1241 | ME |
| Physician Assistant | 363A00000X | 055.0031348 | VT |
| Physician Assistant | 363A00000X | PA1241 | ME |
| Physician Assistant | 363A00000X | — | VT |
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 (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 154 |
|---|---|
| Services billed | 183 across 12 procedure codes |
| Paid by Medicare | $15,808 |
Part D prescriptions in 2024
| Prescriptions (claims) | 382 · 384 30-day fills |
|---|---|
| Patients | 253 |
| Total drug cost | $4,971 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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