Mara Danielle Immediato, PA-C
NPI 1538410071ActiveIndividual· Physician Assistant, Surgical· Tempe, AZ
Physician Assistant, Surgical (PA-C) with Select Physical Therapy Holdings Inc and 1 other group, practicing in Tempe, Arizona. 224 Medicare patients in 2024, $30,923 paid; nearly all of their 456 Part D prescriptions were generic (96%). Stryker Corporation reported $64.36 in payments in 2024, mostly food and beverage. Lists Orthocolorado Hosp at St Anthony Med Campus as a hospital affiliation.
Overview
| NPI | 1538410071 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 24, 2012 |
| Last updated in NPPES | Feb 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 5195 | AZ |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 595 across 32 procedure codes |
| Paid by Medicare | $30,923 |
Part D prescriptions in 2024
| Prescriptions (claims) | 456 · 462 30-day fills |
|---|---|
| Patients | 246 |
| Total drug cost | $4,132 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
- Panorama Orthopedics and Spine Center PCGolden, CO · 308 clinicians
Hospital affiliation
- Orthocolorado Hosp at St Anthony Med CampusLakewood, CO
Industry payments (Open Payments)
- 2024$64.36 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $64.36 | 1 |
What the 2024 payments were for
- Food and Beverage$64.36 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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