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Moses Agbonavbare, PA-C

NPI 1578225439ActiveIndividual· Physician Assistant, Surgical· Baltimore, MD

Physician Assistant, Surgical (PA-C) with Suburban/Nrh Medical Rehabilitation Inc and 1 other group, practicing in Baltimore, Maryland. 437 Medicare patients in 2024, $57,113 paid; nearly all of their 507 Part D prescriptions were generic (93%).

Overview

NPI1578225439
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 8, 2021
Last updated in NPPESNov 29, 2021
Certified by providerNov 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (MD)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients437
Services billed894 across 53 procedure codes
Paid by Medicare$57,113

Part D prescriptions in 2024

Prescriptions (claims)507 · 514 30-day fills
Patients344
Total drug cost$9,691
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant

Medical groups

Source: CMS Care Compare

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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