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Theresa M. Keddy, P.A.

NPI 1699019281ActiveIndividual· Physician Assistant· Avon, CT

Physician Assistant (P.A.) with Prohealth Physicians PC, practicing in Avon, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $403,616 for 4,627 claims, against $40,855 paid for services in 2024. Lists John Dempsey Hospital of the University of Connect as a hospital affiliation.

Overview

NPI1699019281
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedNov 20, 2012
Last updated in NPPESDec 7, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X002854CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients166
Services billed1,003 across 73 procedure codes
Paid by Medicare$40,855

Part D prescriptions in 2024

Prescriptions (claims)4,627 · 10,795 30-day fills
Patients498
Total drug cost$403,616
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

Other facilities

  • SeaburyNursing home · Bloomfield, CT

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Avon

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