James Anthony Hornyak, PA-C
NPI 1609264100ActiveIndividual· Physician Assistant· Inverness, FL
Physician Assistant (PA-C) with Balanced Wellbeing LLC, practicing in Inverness, Florida. Their prescriptions cost Medicare Part D more than their services did: $661,676 for 2,203 claims, against $50,743 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 4 companies reporting payments in 2025, $1,645 in all, mostly food and beverage.
Overview
| NPI | 1609264100 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 6, 2015 |
| Last updated in NPPES | Aug 3, 2020 |
| Certified by provider | Aug 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9108407 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 606 |
|---|---|
| Services billed | 680 across 7 procedure codes |
| Paid by Medicare | $50,743 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,203 · 2,207 30-day fills |
|---|---|
| Patients | 272 |
| Total drug cost | $661,676 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Balanced Wellbeing LLCOcala, FL · 229 clinicians
Industry payments (Open Payments)
- 2025$1,645 · 48 payments from 4 companies
- 2024$1,360 · 57 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $633.64 | 19 |
| Teva Pharmaceuticals USA, Inc. | $432.70 | 16 |
| Acadia Pharmaceuticals Inc | $414.21 | 11 |
| Alpha Cognition USA, Inc. | $164.79 | 2 |
What the 2025 payments were for
- Food and Beverage$1,645 · 48 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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