Gregory Etienne, PHYSICIAN ASSISTANT
NPI 1669180915ActiveIndividual· Physician Assistant· Sierra Vista, AZ
Physician Assistant (PHYSICIAN ASSISTANT) with Keyamed, Inc A P C, practicing in Sierra Vista, Arizona. 125 Medicare patients in 2024, $15,584 paid; nearly all of their 227 Part D prescriptions were generic (90%).
Overview
| NPI | 1669180915 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | Yes |
| NPI issued | Nov 7, 2022 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Jun 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10192 | AZ |
| Physician Assistant | 363A00000X | 1447 | PR |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 125 |
|---|---|
| Services billed | 244 across 10 procedure codes |
| Paid by Medicare | $15,584 |
Part D prescriptions in 2024
| Prescriptions (claims) | 227 · 463 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $15,390 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Keyamed, Inc A P CSierra Vista, AZ · 2 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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