Michael Keith Mietz, PA
NPI 1689944779ActiveIndividual· Physician Assistant, Medical· Lakeport, CA
Physician Assistant, Medical (PA) with Lake County Tribal Health Consortium Inc, practicing in Lakeport, California. Part D covered 4,988 prescriptions written in 2024, 86% of them generic. Abbott Laboratories reported $150.00 in payments in 2025, mostly food and beverage. Lists Adventist Health Clearlake and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1689944779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 5, 2012 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA52485 | CA |
| Physician Assistant | 363A00000X | 015421 | NY |
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 (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 4,988 · 9,776 30-day fills |
|---|---|
| Patients | 525 |
| Total drug cost | $423,221 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lake County Tribal Health Consortium IncLakeport, CA · 43 clinicians
Hospital affiliations
- Adventist Health ClearlakeClearlake, CA
- Adventist Health Ukiah ValleyUkiah, CA
- Sutter Lakeside HospitalLakeport, CA
Other facilities
- Sutter Care at HomeHome health agency · Lakeport, CA
Industry payments (Open Payments)
- 2025$150.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $150.00 | 1 |
What the 2025 payments were for
- Food and Beverage$150.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Lakeport
- 1285869966
- 1184052003
- 1790912152
- 1285607259
- 1740615558
- 1639088594
- 1326118365
- 1033321963
- 1053503144