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Thirath Mark Luong, PA-C

NPI 1629304654ActiveIndividual· Physician Assistant· Lakeville, MN

Physician Assistant (PA-C) in Lakeville, Minnesota, trained at Philadelphia College of Osteopathic Medicine (class of 2009). 101 Medicare patients in 2024, $11,358 paid; nearly all of their 169 Part D prescriptions were generic (99%).

Overview

NPI1629304654
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 27, 2009
Last updated in NPPESOct 31, 2025
Certified by providerOct 31, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X10898MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients101
Services billed556 across 35 procedure codes
Paid by Medicare$11,358

Part D prescriptions in 2024

Prescriptions (claims)169 · 169 30-day fills
Patients139
Total drug cost$901.98
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPhiladelphia College of Osteopathic Medicine
Graduation year2009
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other physician assistants in Lakeville

All 28 physician assistants in Lakeville · All physician assistants in Minnesota