Carina Ana Marie Messura, PA-C
NPI 1609527746ActiveIndividual· Physician Assistant· Jacksonville, NC
Physician Assistant (PA-C) with Coastal Carolina Neuropsychiatric Center PA, practicing in Jacksonville, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $170,156 for 1,450 claims, against $10,648 paid for services in 2024. Vanda Pharmaceuticals Inc. was the largest of 19 companies reporting payments in 2025, $2,753 in all, mostly food and beverage.
Overview
| NPI | 1609527746 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-11471 | NC |
| Physician Assistant | 363A00000X | 027834 | NY |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 155 across 4 procedure codes |
| Paid by Medicare | $10,648 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,450 · 1,645 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $170,156 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Coastal Carolina Neuropsychiatric Center PAWilmington, NC · 28 clinicians
Industry payments (Open Payments)
- 2025$2,753 · 173 payments from 19 companies
- 2024$4,284 · 269 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vanda Pharmaceuticals Inc. | $578.27 | 30 |
| Abbvie Inc. | $345.72 | 22 |
| Otsuka America Pharmaceutical, Inc. | $329.20 | 20 |
| E.R. Squibb & Sons, L.L.C. | $240.96 | 18 |
| Supernus Pharmaceuticals, Inc. | $193.26 | 16 |
What the 2025 payments were for
- Food and Beverage$2,753 · 173 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 73 physician assistants in Jacksonville · All physician assistants in North Carolina