Kelly Rutherford S. Hall, PA-C
NPI 1710989439ActiveIndividual· Physician Assistant· Thousand Oaks, CA
Physician Assistant (PA-C) with Golden State Providers, A Medical Corporation, practicing in Thousand Oaks, California. Their prescriptions cost Medicare Part D more than their services did: $16,622 for 74 claims, against $7,030 paid for services in 2024. Atricure, Inc. was the largest of 13 companies reporting payments in 2025, $2,900 in all, mostly food and beverage. Lists Los Robles Hospital & Medical Center as a hospital affiliation.
Overview
| NPI | 1710989439 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 12, 2005 |
| Last updated in NPPES | May 7, 2025 |
| Certified by provider | May 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA13266 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA13266 | 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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 90 across 15 procedure codes |
| Paid by Medicare | $7,030 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 107 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $16,622 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Golden State Providers, A Medical CorporationThousand Oaks, CA · 23 clinicians
Hospital affiliation
- Los Robles Hospital & Medical CenterThousand Oaks, CA
Industry payments (Open Payments)
- 2025$2,900 · 46 payments from 13 companies
- 2024$1,338 · 67 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Atricure, Inc. | $1,845 | 11 |
| Medtronic, Inc. | $391.70 | 17 |
| Abiomed | $218.69 | 3 |
| Altathera Pharmaceuticals LLC | $188.31 | 4 |
| Abbott Laboratories | $59.25 | 2 |
What the 2025 payments were for
- Food and Beverage$1,554 · 43 payments
- Travel and Lodging$1,346 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 physician assistants in Thousand Oaks · All physician assistants in California