Marc Havlicek, PA-C
NPI 1558057679ActiveIndividual· Physician Assistant· Springfield, MO
Physician Assistant (PA-C) in Springfield, Missouri, licensed in MO, with an NPI issued in April 2023. 33 Medicare patients in 2024, $754.68 paid; nearly all of their 63 Part D prescriptions were generic (97%).
Overview
| NPI | 1558057679 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2023 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 20230212235 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 33 across 7 procedure codes |
| Paid by Medicare | $754.68 |
Part D prescriptions in 2024
| Prescriptions (claims) | 63 · 64 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $1,027 |
| 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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