James Gesling, PA
NPI 1588086474ActiveIndividual· Physician Assistant· Columbia, MO
Physician Assistant (PA) in Columbia, Missouri, licensed in MO, with an NPI issued in January 2014. 348 Medicare patients in 2024, $32,248 paid; nearly all of their 694 Part D prescriptions were generic (97%). Csl Behring reported $47.86 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1588086474 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 10, 2014 |
| Last updated in NPPES | Nov 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2014002419 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 348 |
|---|---|
| Services billed | 400 across 20 procedure codes |
| Paid by Medicare | $32,248 |
Part D prescriptions in 2024
| Prescriptions (claims) | 694 · 699 30-day fills |
|---|---|
| Patients | 389 |
| Total drug cost | $8,620 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
- 2025$47.86 · 2 payments from 1 company
- 2024$286.39 · 14 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $47.86 | 2 |
What the 2025 payments were for
- Food and Beverage$47.86 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 181 physician assistants in Columbia · All physician assistants in Missouri