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Mark David Roman, PA-C

NPI 1588692602ActiveIndividual· Physician Assistant· Dallas, GA

Physician Assistant (PA-C) in Dallas, Georgia, licensed in FL, with an NPI issued in June 2006. Their prescriptions cost Medicare Part D more than their services did: $2,871 for 46 claims, against $543.17 paid for services in 2024.

Overview

NPI1588692602
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedJun 29, 2006
Last updated in NPPESAug 13, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA9101641FL

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)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients16
Services billed71 across 22 procedure codes
Paid by Medicare$543.17

Part D prescriptions in 2024

Prescriptions (claims)46 · 122 30-day fills
Total drug cost$2,871
Generic share89% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Dallas

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