Amicia Bullard, PA-C
NPI 1568549723ActiveIndividual· Physician Assistant· Medford, OR
Physician Assistant (PA-C) in Medford, Oregon, licensed in OR, with an NPI issued in November 2006. Their prescriptions cost Medicare Part D more than their services did: $72,794 for 898 claims, against $12,284 paid for services in 2024.
Overview
| NPI | 1568549723 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA00783 | OR |
| Physician Assistant, Medical | 363AM0700X | PA00783 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 189 across 3 procedure codes |
| Paid by Medicare | $12,284 |
Part D prescriptions in 2024
| Prescriptions (claims) | 898 · 939 30-day fills |
|---|---|
| Patients | 103 |
| Total drug cost | $72,794 |
| Generic share | 80% 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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