Theresa Difabrizio, PA-C
NPI 1720483555ActiveIndividual· Physician Assistant, Surgical· Halethorpe, MD
Physician Assistant, Surgical (PA-C) with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, practicing in Halethorpe, Maryland. Their prescriptions cost Medicare Part D more than their services did: $4,167 for 42 claims, against $677.67 paid for services in 2024.
Overview
| NPI | 1720483555 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 22, 2014 |
| Last updated in NPPES | Jun 1, 2021 |
| Certified by provider | Jun 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | C0006812 | MD |
| Physician Assistant | 363A00000X | 51688 | 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 (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 13 across 5 procedure codes |
| Paid by Medicare | $677.67 |
Part D prescriptions in 2024
| Prescriptions (claims) | 42 · 42 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $4,167 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncLargo, MD · 1,899 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records