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Matthew Thomas Carr

NPI 1629846423ActiveIndividual· Physician Assistant· McCall, ID

Physician Assistant with St Lukes Clinic - McCall LLC, practicing in McCall, Idaho. Their prescriptions cost Medicare Part D more than their services did: $47,774 for 551 claims, against $6,905 paid for services in 2024. Lists Cascade Medical Center and 2 other hospitals as hospital affiliations.

Overview

NPI1629846423
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 12, 2023
Last updated in NPPESFeb 19, 2024
Certified by providerFeb 19, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA-2632ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (ID)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients111
Services billed175 across 16 procedure codes
Paid by Medicare$6,905

Part D prescriptions in 2024

Prescriptions (claims)551 · 1,033 30-day fills
Patients218
Total drug cost$47,774
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

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 Assistant providers in McCall

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