Edward Medina, PAC
NPI 1558351460ActiveIndividual· Physician Assistant· Alamosa, CO
Physician Assistant (PAC) with Valley-Wide Health Systems, Inc. and 1 other group, practicing in Alamosa, Colorado. Their prescriptions cost Medicare Part D more than their services did: $578,838 for 6,342 claims, against $1,830 paid for services in 2024. Lists San Luis Valley Health Conejos County Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1558351460 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1115 | CO |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 60 across 13 procedure codes |
| Paid by Medicare | $1,830 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,342 · 12,836 30-day fills |
|---|---|
| Patients | 477 |
| Total drug cost | $578,838 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Valley-Wide Health Systems, Inc.La Junta, CO · 42 clinicians
- Southern Colorado Clinic PCPueblo West, CO · 37 clinicians
Hospital affiliations
- San Luis Valley Health Conejos County HospitalLa Jara, CO
- San Luis Valley Regional Medical CenterAlamosa, CO
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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