Kelly Vide, PA-C
NPI 1578965190ActiveIndividual· Physician Assistant· Cheverly, MD
Physician Assistant (PA-C) with Barton Medical Foundation, practicing in Cheverly, Maryland. 63 Medicare patients in 2024, $4,373 paid; nearly all of their 56 Part D prescriptions were generic (95%). Lists Barton Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1578965190 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 26, 2014 |
| Last updated in NPPES | Sep 26, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 (HI); Practitioner - Physician Assistant (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 88 across 15 procedure codes |
| Paid by Medicare | $4,373 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 57 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $448.33 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Barton Medical FoundationStateline, NV · 105 clinicians
Hospital affiliation
- Barton Memorial HospitalSouth Lake Tahoe, CA
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 19 physician assistants in Cheverly · All physician assistants in Maryland