Kacey Divincenzo, PA-C
NPI 1558082644ActiveIndividual· Physician Assistant· Warren, OH
Physician Assistant (PA-C) with Triad Health Services LLC and 1 other group, practicing in Warren, Ohio. Their prescriptions cost Medicare Part D more than their services did: $148,063 for 2,644 claims, against $34,471 paid for services in 2024. Averitas Pharma Inc. reported $27.10 in payments in 2025, mostly food and beverage. Lists Surgical Hospital at Southwoods as a hospital affiliation.
Overview
| NPI | 1558082644 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 7, 2022 |
| Last updated in NPPES | Dec 30, 2025 |
| Certified by provider | Dec 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.007802RX | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 233 |
|---|---|
| Services billed | 977 across 5 procedure codes |
| Paid by Medicare | $34,471 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,644 · 2,802 30-day fills |
|---|---|
| Patients | 612 |
| Total drug cost | $148,063 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Triad Health Services LLCYoungstown, OH · 258 clinicians
- Comprehensive Rehab Consultants PLLCHampton, VA · 257 clinicians
Hospital affiliation
- Surgical Hospital at SouthwoodsYoungstown, OH
Industry payments (Open Payments)
- 2025$27.10 · 1 payment from 1 company
- 2024$92.85 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Averitas Pharma Inc. | $27.10 | 1 |
What the 2025 payments were for
- Food and Beverage$27.10 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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