Russell Andrew Kauffman, P.A.
NPI 1669629549ActiveIndividual· Physician Assistant· Fargo, ND
Physician Assistant (P.A.) in Fargo, North Dakota, licensed in ND, MN and AK, with an NPI issued in August 2008. Medicare paid $877.54 for services to 11 patients in 2024.
Overview
| NPI | 1669629549 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Aug 22, 2008 |
| Last updated in NPPES | Mar 2, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PAC0411 | ND |
| Physician Assistant | 363A00000X | 11293 | MN |
| Physician Assistant | 363A00000X | 1981 | AK |
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 (MN); Practitioner - Physician Assistant (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 11 across 3 procedure codes |
| Paid by Medicare | $877.54 |
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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