Liece Laurens, PA-C
NPI 1619519915ActiveIndividual· Physician Assistant· Fort Wayne, IN
Physician Assistant (PA-C) with Summit Radiology P C, practicing in Fort Wayne, Indiana. 71 Medicare patients in 2024, $4,126 paid; nearly all of their 234 Part D prescriptions were generic (97%). Astrazeneca Pharmaceuticals LP was the largest of 2 companies reporting payments in 2025, $183.09 in all, mostly food and beverage. Lists Lutheran Hospital of Indiana as a hospital affiliation.
Overview
| NPI | 1619519915 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 8, 2019 |
| Last updated in NPPES | Jan 6, 2020 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10002825A | IN |
| Physician Assistant, Medical | 363AM0700X | — | — |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 113 across 24 procedure codes |
| Paid by Medicare | $4,126 |
Part D prescriptions in 2024
| Prescriptions (claims) | 234 · 234 30-day fills |
|---|---|
| Patients | 173 |
| Total drug cost | $1,484 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Summit Radiology P CFort Wayne, IN · 102 clinicians
Hospital affiliation
- Lutheran Hospital of IndianaFort Wayne, IN
Industry payments (Open Payments)
- 2025$183.09 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $121.15 | 1 |
| Bioventus LLC | $61.94 | 1 |
What the 2025 payments were for
- Food and Beverage$183.09 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 327 physician assistants in Fort Wayne · All physician assistants in Indiana