Tamar Michelle Broussard, PA, MPH
NPI 1740621838ActiveIndividual· Physician Assistant· Sacramento, CA
Physician Assistant (PA, MPH) with Kennedy Medical Group Practice, P.C. and 1 other group, practicing in Sacramento, California. 94 Medicare patients in 2024, $6,272 paid; nearly all of their 242 Part D prescriptions were generic (94%). Lists Jefferson Stratford Hospital as a hospital affiliation.
Overview
| NPI | 1740621838 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA, MPH |
| Sole proprietor | No |
| NPI issued | Jul 17, 2013 |
| Last updated in NPPES | Oct 7, 2023 |
| Certified by provider | Oct 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00492300 | NJ |
| Physician Assistant | 363A00000X | PA23022 | CA |
| Physician Assistant, Medical | 363AM0700X | MA060105 | PA |
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 (NJ); Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 148 across 25 procedure codes |
| Paid by Medicare | $6,272 |
Part D prescriptions in 2024
| Prescriptions (claims) | 242 · 245 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $2,133 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Kennedy Medical Group Practice, P.C.Stratford, NJ · 418 clinicians
- Patient Care Now LLCFairless Hills, PA · 13 clinicians
Hospital affiliation
- Jefferson Stratford HospitalStratford, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 392 physician assistants in Sacramento · All physician assistants in California