Thomas Manford Dale III, PA
NPI 1588651053ActiveIndividual· Physician Assistant, Medical· Fairbanks, AK
Physician Assistant, Medical (PA) in Fairbanks, Alaska, licensed in AK, with an NPI issued in September 2005. 126 Medicare patients in 2024, $14,504 paid; nearly all of their 115 Part D prescriptions were generic (93%).
Overview
| NPI | 1588651053 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 30, 2005 |
| Last updated in NPPES | Oct 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 475 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 148 across 15 procedure codes |
| Paid by Medicare | $14,504 |
Part D prescriptions in 2024
| Prescriptions (claims) | 115 · 115 30-day fills |
|---|---|
| Patients | 82 |
| Total drug cost | $599.68 |
| Generic share | 93% 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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