Kelly E. Lieb, PA-C
NPI 1568615219ActiveIndividual· Physician Assistant· Sheridan, WY
Physician Assistant (PA-C) in Sheridan, Wyoming, licensed in WY, with an NPI issued in October 2008. In 2024 Medicare paid $8,403 for 119 patients, and Part D covered 51 of their prescriptions, 86% of them generic.
Overview
| NPI | 1568615219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 28, 2008 |
| Last updated in NPPES | Oct 17, 2025 |
| Certified by provider | Oct 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 500 | WY |
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 (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 134 across 11 procedure codes |
| Paid by Medicare | $8,403 |
Part D prescriptions in 2024
| Prescriptions (claims) | 51 · 51 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $790.97 |
| Generic share | 86% 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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