Timothy C. Stallard, PA
NPI 1679536148ActiveIndividual· Physician Assistant, Surgical· Lenexa, KS
Physician Assistant, Surgical (PA) with Kc Bariatric LLC, practicing in Lenexa, Kansas. Their prescriptions cost Medicare Part D more than their services did: $1,252 for 64 claims, against $795.95 paid for services in 2024. Ethicon US, LLC reported $111.55 in payments in 2025, mostly food and beverage. Lists Adventhealth Shawnee Mission as a hospital affiliation.
Overview
| NPI | 1679536148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 7, 2006 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 1500547 | KS |
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 (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 16 across 4 procedure codes |
| Paid by Medicare | $795.95 |
Part D prescriptions in 2024
| Prescriptions (claims) | 64 · 134 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $1,252 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Kc Bariatric LLCLenexa, KS · 15 clinicians
Hospital affiliation
- Adventhealth Shawnee MissionShawnee Mission, KS
Industry payments (Open Payments)
- 2025$111.55 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $111.55 | 3 |
What the 2025 payments were for
- Food and Beverage$111.55 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Lenexa
- 1598133654
- 1790809234
- 1578361184