Andrey Maksimtsov, PA-C
NPI 1578248589ActiveIndividual· Physician Assistant· Stockton, CA
Physician Assistant (PA-C) in Stockton, California, licensed in CA and NC, with an NPI issued in June 2023. 179 Medicare patients in 2024, $16,665 paid; nearly all of their 312 Part D prescriptions were generic (96%).
Overview
| NPI | 1578248589 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 19, 2023 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA64335 | CA |
| Physician Assistant, Medical | 363AM0700X | 0010-13321 | NC |
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 (CA); Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 249 across 14 procedure codes |
| Paid by Medicare | $16,665 |
Part D prescriptions in 2024
| Prescriptions (claims) | 312 · 313 30-day fills |
|---|---|
| Patients | 200 |
| Total drug cost | $1,919 |
| Generic share | 96% 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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All 66 physician assistants in Stockton · All physician assistants in California