Kiesha Marie Bullough, PA-C
NPI 1700113412ActiveIndividual· Physician Assistant· Clarksburg, WV
Physician Assistant (PA-C) with West Virginia University Medical Corporation, practicing in Clarksburg, West Virginia. 146 Medicare patients in 2024, $8,870 paid; nearly all of their 168 Part D prescriptions were generic (98%). Si-Bone, Inc. reported $127.12 in payments in 2025, mostly food and beverage. Lists Garrett Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1700113412 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 17, 2009 |
| Last updated in NPPES | Jun 17, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 01444 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 184 across 10 procedure codes |
| Paid by Medicare | $8,870 |
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 199 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $1,886 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- West Virginia University Medical CorporationMorgantown, WV · 1,980 clinicians
Hospital affiliations
- Garrett Regional Medical CenterOakland, MD
- St Joseph's Hospital of Buckhannon, IncBuckhannon, WV
- West Virginia University Hospitals, IncMorgantown, WV
Industry payments (Open Payments)
- 2025$127.12 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Si-Bone, Inc. | $127.12 | 1 |
What the 2025 payments were for
- Food and Beverage$127.12 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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