Rachel Kreuzer Troian, PA
NPI 1578155180ActiveIndividual· Physician Assistant, Medical· Daytona Beach, FL
Physician Assistant, Medical (PA) with Florida Cancer Specialists and Research Institute, LLC, practicing in Daytona Beach, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,011,796 for 538 claims, against $67,334 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 47 companies reporting payments in 2025, $4,271 in all, mostly food and beverage. Lists Adventhealth Daytona Beach as a hospital affiliation.
Overview
| NPI | 1578155180 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 4, 2021 |
| Last updated in NPPES | Jun 10, 2026 |
| Certified by provider | Jun 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA9113768 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 4,031 across 46 procedure codes |
| Paid by Medicare | $67,334 |
Part D prescriptions in 2024
| Prescriptions (claims) | 538 · 821 30-day fills |
|---|---|
| Patients | 175 |
| Total drug cost | $1,011,796 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Florida Cancer Specialists and Research Institute, LLCNorth Port, FL · 498 clinicians
Hospital affiliation
- Adventhealth Daytona BeachDaytona Beach, FL
Industry payments (Open Payments)
- 2025$4,271 · 149 payments from 47 companies
- 2024$4,472 · 183 payments from 39 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $417.93 | 11 |
| Janssen Biotech, Inc. | $354.79 | 15 |
| Incyte Corporation | $261.68 | 3 |
| Daiichi Sankyo Inc. | $260.62 | 12 |
| Astellas Pharma US Inc | $251.91 | 6 |
What the 2025 payments were for
- Food and Beverage$4,103 · 147 payments
- Education$167.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 physician assistants in Daytona Beach · All physician assistants in Florida