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Kelsi Madelyn Kocmoud, PA-C

NPI 1770031403ActiveIndividual· Physician Assistant· Peoria, AZ

Physician Assistant (PA-C) with Banner Physician Specialists Arizona LLC, practicing in Peoria, Arizona. 89 Medicare patients in 2024, $20,482 paid; nearly all of their 252 Part D prescriptions were generic (92%). Edwards Lifesciences Corporation was the largest of 3 companies reporting payments in 2025, $221.47 in all, mostly food and beverage. Lists Banner Boswell Medical Center and 1 other hospital as hospital affiliations.

Overview

NPI1770031403
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 12, 2016
Last updated in NPPESSep 17, 2022
Certified by providerJun 14, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

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

Medicare services in 2024

Medicare patients89
Services billed242 across 30 procedure codes
Paid by Medicare$20,482

Part D prescriptions in 2024

Prescriptions (claims)252 · 275 30-day fills
Patients74
Total drug cost$2,276
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$221.47 · 3 payments from 3 companies
  • 2024$86.46 · 3 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$221.47 · 3 payments

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

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