Kerry Clancy, P.A.
NPI 1669473153ActiveIndividual· Physician Assistant· Fayetteville, NC
Physician Assistant (P.A.) with Matrix Occupational Health PC, practicing in Fayetteville, North Carolina. In 2024 Medicare paid $12,694 for 150 patients, and Part D covered 264 of their prescriptions, 88% of them generic.
Overview
| NPI | 1669473153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Sep 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 000102790 | 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 | 150 |
|---|---|
| Services billed | 409 across 37 procedure codes |
| Paid by Medicare | $12,694 |
Part D prescriptions in 2024
| Prescriptions (claims) | 264 · 274 30-day fills |
|---|---|
| Patients | 173 |
| Total drug cost | $8,874 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Matrix Occupational Health PCCary, NC · 43 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 290 physician assistants in Fayetteville · All physician assistants in North Carolina