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Alfonso Jr Hernandez, PA-C

NPI 1720502917ActiveIndividual· Physician Assistant· Blackfoot, ID

Physician Assistant (PA-C) with Pocatello Health Services LLC, practicing in Blackfoot, Idaho. 128 Medicare patients in 2024, $12,897 paid; nearly all of their 136 Part D prescriptions were generic (99%). Mentor Worldwide LLC reported $41.31 in payments in 2025, mostly food and beverage. Lists Portneuf Medical Center as a hospital affiliation.

Overview

NPI1720502917
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJul 28, 2017
Last updated in NPPESFeb 22, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA-1530ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients128
Services billed239 across 24 procedure codes
Paid by Medicare$12,897

Part D prescriptions in 2024

Prescriptions (claims)136 · 144 30-day fills
Patients71
Total drug cost$1,398
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$41.31 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Mentor Worldwide LLC$41.311

What the 2025 payments were for

  • Food and Beverage$41.31 · 1 payment

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

Other Physician Assistant providers in Blackfoot

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