Marlo Pichardo, PAC
NPI 1699842021ActiveIndividual· Physician Assistant· Eagle, ID
Physician Assistant (PAC) with Momentum Medical Group of Idaho LLC, practicing in Eagle, Idaho. Their prescriptions cost Medicare Part D more than their services did: $77,923 for 307 claims, against $3,636 paid for services in 2024. Lundbeck LLC reported $16.63 in payments in 2025, mostly food and beverage. Lists St Luke's Nampa Medical Center as a hospital affiliation.
Overview
| NPI | 1699842021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Nov 29, 2006 |
| Last updated in NPPES | Feb 13, 2026 |
| Certified by provider | Feb 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1898 | ID |
| Physician Assistant | 363A00000X | PA9102903 | FL |
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 (FL); Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 69 across 3 procedure codes |
| Paid by Medicare | $3,636 |
Part D prescriptions in 2024
| Prescriptions (claims) | 307 · 474 30-day fills |
|---|---|
| Patients | 92 |
| Total drug cost | $77,923 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Momentum Medical Group of Idaho LLCNampa, ID · 8 clinicians
Hospital affiliation
- St Luke's Nampa Medical CenterNampa, ID
Industry payments (Open Payments)
- 2025$16.63 · 1 payment from 1 company
- 2024$101.23 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lundbeck LLC | $16.63 | 1 |
What the 2025 payments were for
- Food and Beverage$16.63 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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