Kelly Lynae Richardson, PA-C
NPI 1760618730ActiveIndividual· Physician Assistant· Mesa, AZ
Physician Assistant (PA-C) with Banner Physician Specialists Arizona LLC and 1 other group, practicing in Mesa, Arizona. Their prescriptions cost Medicare Part D more than their services did: $7,017 for 139 claims, against $2,646 paid for services in 2024. Abbvie Inc. was the largest of 3 companies reporting payments in 2025, $90.08 in all, mostly food and beverage. Lists Banner Desert Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1760618730 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 4, 2009 |
| Last updated in NPPES | Dec 11, 2024 |
| Certified by provider | Dec 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7112 | AZ |
| Physician Assistant | 363A00000X | 10561256-1206 | UT |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 43 across 6 procedure codes |
| Paid by Medicare | $2,646 |
Part D prescriptions in 2024
| Prescriptions (claims) | 139 · 272 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $7,017 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Banner Physician Specialists Arizona LLCChandler, AZ · 373 clinicians
- Reddy Gi AssociatesMesa, AZ · 18 clinicians
Hospital affiliations
- Banner Desert Medical CenterMesa, AZ
- Banner Goldfield Medical CenterApache Junction, AZ
- Banner Ironwood Medical CenterQueen Creek, AZ
- Dignity Health Arizona General HospitalMesa, AZ
Industry payments (Open Payments)
- 2025$90.08 · 5 payments from 3 companies
- 2024$290.80 · 14 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $58.98 | 3 |
| Intercept Pharmaceuticals, Inc. | $18.46 | 1 |
| Sirtex Medical Inc | $12.64 | 1 |
What the 2025 payments were for
- Food and Beverage$90.08 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 474 physician assistants in Mesa · All physician assistants in Arizona