Maya Purwatini Atmojo
NPI 1558943662ActiveIndividual· Physician Assistant· Salt Lake City, UT
Physician Assistant in Salt Lake City, Utah, trained at University of Utah School of Medicine (class of 2023). 136 Medicare patients in 2024, $21,716 paid; nearly all of their 252 Part D prescriptions were generic (99%). Globus Medical, Inc. was the largest of 4 companies reporting payments in 2025, $1,612 in all, mostly food and beverage.
Overview
| NPI | 1558943662 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 27, 2021 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 323 across 35 procedure codes |
| Paid by Medicare | $21,716 |
Part D prescriptions in 2024
| Prescriptions (claims) | 252 · 305 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $4,140 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Achieve Brain and Spine IncSanta Monica, CA · 6 clinicians
Hospital affiliations
- Cedars-Sinai Medical CenterLos Angeles, CA
- Saint John's Health CenterSanta Monica, CA
Industry payments (Open Payments)
- 2025$1,612 · 34 payments from 4 companies
- 2024$16.63 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Globus Medical, Inc. | $1,535 | 31 |
| Forte Bio-Pharma LLC | $27.59 | 1 |
| Vertex Pharmaceuticals Incorporated | $26.88 | 1 |
| Orthofix Medical, Inc. | $22.06 | 1 |
What the 2025 payments were for
- Food and Beverage$1,612 · 34 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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