Mackenzie Lee Carlson, PA
NPI 1568038875ActiveIndividual· Physician Assistant· Edina, MN
Physician Assistant (PA) with Fairview Clinics, practicing in Edina, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $6,531 for 128 claims, against $4,178 paid for services in 2024. Hologic Sales and Service, LLC reported $152.04 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1568038875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 28, 2021 |
| Last updated in NPPES | Nov 3, 2025 |
| Certified by provider | Nov 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13706 | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 113 across 30 procedure codes |
| Paid by Medicare | $4,178 |
Part D prescriptions in 2024
| Prescriptions (claims) | 128 · 276 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $6,531 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Fairview ClinicsEagan, MN · 782 clinicians
Industry payments (Open Payments)
- 2025$152.04 · 2 payments from 1 company
- 2024$123.30 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $152.04 | 2 |
What the 2025 payments were for
- Food and Beverage$152.04 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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