Kyle Rotherham, PA-C
NPI 1780397018ActiveIndividual· Physician Assistant, Surgical· Omaha, NE
Physician Assistant, Surgical (PA-C) in Omaha, Nebraska, trained at Creighton University School of Medicine (class of 2022). 300 Medicare patients in 2024, $33,859 paid; all of their 670 Part D prescriptions were generic. Conetic Solutions, Inc. reported $17.24 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1780397018 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 2, 2023 |
| Last updated in NPPES | Oct 30, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 2867 | NE |
| Physician Assistant | 363A00000X | 1204103 | NE |
| Physician Assistant | 363A00000X | 2867 | NE |
| Physician Assistant | 363A00000X | 118173 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 300 |
|---|---|
| Services billed | 1,307 across 51 procedure codes |
| Paid by Medicare | $33,859 |
Part D prescriptions in 2024
| Prescriptions (claims) | 670 · 687 30-day fills |
|---|---|
| Patients | 224 |
| Total drug cost | $6,213 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physician Assistant |
Medical group
- MD West One PCOmaha, NE · 91 clinicians
Hospital affiliations
- Midwest Surgical Hospital LLCOmaha, NE
- The Nebraska Methodist HospitalOmaha, NE
Industry payments (Open Payments)
- 2025$17.24 · 1 payment from 1 company
- 2024$1,177 · 10 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Conetic Solutions, Inc. | $17.24 | 1 |
What the 2025 payments were for
- Food and Beverage$17.24 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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