Karl M. Letko, MPAS, PA-C
NPI 1689977019ActiveIndividual· Physician Assistant· Pocatello, ID
Physician Assistant (MPAS, PA-C) with Life Change Associates PC, practicing in Pocatello, Idaho. Their prescriptions cost Medicare Part D more than their services did: $294,949 for 1,646 claims, against $17,813 paid for services in 2024. Teva Pharmaceuticals USA, Inc. was the largest of 11 companies reporting payments in 2025, $1,125 in all, mostly food and beverage.
Overview
| NPI | 1689977019 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS, PA-C |
| Sole proprietor | No |
| NPI issued | Dec 7, 2010 |
| Last updated in NPPES | Nov 10, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-916 | ID |
| Physician Assistant, Medical | 363AM0700X | PA21368 | CA |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 307 across 13 procedure codes |
| Paid by Medicare | $17,813 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,646 · 2,609 30-day fills |
|---|---|
| Patients | 111 |
| Total drug cost | $294,949 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Life Change Associates PCPocatello, ID · 7 clinicians
Industry payments (Open Payments)
- 2025$1,125 · 57 payments from 11 companies
- 2024$991.53 · 52 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $236.34 | 16 |
| Vanda Pharmaceuticals Inc. | $199.64 | 9 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $159.39 | 6 |
| Otsuka America Pharmaceutical, Inc. | $155.72 | 7 |
| Axsome Therapeutics, Inc. | $71.54 | 3 |
What the 2025 payments were for
- Food and Beverage$1,125 · 57 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 64 physician assistants in Pocatello · All physician assistants in Idaho