Ivy Lane Ziccarelli, PA-C
NPI 1629434691ActiveIndividual· Physician Assistant· Matthews, NC
Physician Assistant (PA-C) with Novant Health Medical Group, LLC, practicing in Matthews, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $42,245 for 437 claims, against $4,825 paid for services in 2024.
Overview
| NPI | 1629434691 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 6, 2016 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Sep 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-06261 | NC |
| Physician Assistant, Medical | 363AM0700X | — | NC |
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 | 16 |
|---|---|
| Services billed | 130 across 4 procedure codes |
| Paid by Medicare | $4,825 |
Part D prescriptions in 2024
| Prescriptions (claims) | 437 · 919 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $42,245 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Novant Health Medical Group, LLCWinston Salem, NC · 2,430 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 83 physician assistants in Matthews · All physician assistants in North Carolina