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Abiel Koffi Madje Adjagodo, PA-C

NPI 1760150692ActiveIndividual· Physician Assistant· Saint Paul, MN

Physician Assistant (PA-C) with West Side Community Health Services, Inc., practicing in Saint Paul, Minnesota. Part D covered 282 prescriptions written in 2024, 75% of them generic.

Overview

NPI1760150692
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 3, 2021
Last updated in NPPESJun 17, 2024
Certified by providerJun 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X14697MN

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 (MN)

Part D prescriptions in 2024

Prescriptions (claims)282 · 645 30-day fills
Patients57
Total drug cost$37,749
Generic share75% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

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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