Mia Patricia Georgia Kennedy, PA-C
NPI 1639947948ActiveIndividual· Physician Assistant· Warrensburg, NY
Physician Assistant (PA-C) in Warrensburg, New York, trained at State University of Ny Upstate Medical University (class of 2023). Their prescriptions cost Medicare Part D more than their services did: $83,437 for 895 claims, against $1,327 paid for services in 2024. Dexcom, Inc. reported $122.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1639947948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 15, 2023 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 030885 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 75 across 20 procedure codes |
| Paid by Medicare | $1,327 |
Part D prescriptions in 2024
| Prescriptions (claims) | 895 · 1,298 30-day fills |
|---|---|
| Patients | 230 |
| Total drug cost | $83,437 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- Hudson Headwaters Health NetworkGlens Falls, NY · 215 clinicians
Hospital affiliations
- Albany Medical Center HospitalAlbany, NY
- Glens Falls HospitalGlens Falls, NY
Other facilities
- Eddy Visiting Nurse & Rehab AssociationHome health agency · Troy, NY
Industry payments (Open Payments)
- 2025$122.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $122.00 | 1 |
What the 2025 payments were for
- Food and Beverage$122.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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