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Sandra Gautier Blackman, PA-C

NPI 1710551478ActiveIndividual· Physician Assistant· Tampa, FL

Physician Assistant (PA-C) with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, practicing in Tampa, Florida. 143 Medicare patients in 2024, $14,942 paid; nearly all of their 93 Part D prescriptions were generic (90%). Springworks Therapeutics, Inc. was the largest of 2 companies reporting payments in 2024, $193.71 in all, mostly food and beverage.

Overview

NPI1710551478
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 18, 2021
Last updated in NPPESSep 19, 2025
Certified by providerSep 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA9114259FL
Surgery, Surgical Oncology2086X0206XPA9114259FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients143
Services billed225 across 15 procedure codes
Paid by Medicare$14,942

Part D prescriptions in 2024

Prescriptions (claims)93 · 105 30-day fills
Patients58
Total drug cost$4,582
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$193.71 · 2 payments from 2 companies

Top paying companies in 2024

What the 2024 payments were for

  • Food and Beverage$193.71 · 2 payments

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

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