Wiley D. Petersen, PA-C
NPI 1568920080ActiveIndividual· Physician Assistant· Chubbuck, ID
Physician Assistant (PA-C) with Mvh Pic LLC, practicing in Chubbuck, Idaho. Their prescriptions cost Medicare Part D more than their services did: $196,502 for 2,006 claims, against $11,847 paid for services in 2024. Abbvie Inc. was the largest of 6 companies reporting payments in 2025, $330.73 in all, mostly food and beverage. Lists Mountain View Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1568920080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Mar 4, 2019 |
| Last updated in NPPES | May 17, 2024 |
| Certified by provider | May 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1714 | ID |
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 (ID); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 393 across 41 procedure codes |
| Paid by Medicare | $11,847 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,006 · 4,268 30-day fills |
|---|---|
| Patients | 177 |
| Total drug cost | $196,502 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mvh Pic LLCPocatello, ID · 16 clinicians
Hospital affiliations
- Mountain View HospitalIdaho Falls, ID
- Portneuf Medical CenterPocatello, ID
Industry payments (Open Payments)
- 2025$330.73 · 18 payments from 6 companies
- 2024$218.45 · 10 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $123.71 | 6 |
| Corcept Therapeutics | $68.52 | 3 |
| Novo Nordisk Inc | $67.83 | 4 |
| Axsome Therapeutics, Inc. | $31.62 | 3 |
| Exact Sciences Corporation | $24.33 | 1 |
What the 2025 payments were for
- Food and Beverage$330.73 · 18 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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