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Brandy Blackston, PA-C

NPI 1790158392ActiveIndividual· Physician Assistant, Medical· Berkley, MI

Physician Assistant, Medical (PA-C) with Beaumont Medical Group- Specialty Services, practicing in Berkley, Michigan. Their prescriptions cost Medicare Part D more than their services did: $292,928 for 1,731 claims, against $38,479 paid for services in 2024. Lists Beaumont Hospital - Farmington Hills and 2 other hospitals as hospital affiliations.

Overview

NPI1790158392
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedNov 4, 2015
Last updated in NPPESJul 22, 2022
Certified by providerJul 22, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X5601007562MI

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 (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients444
Services billed889 across 11 procedure codes
Paid by Medicare$38,479

Part D prescriptions in 2024

Prescriptions (claims)1,731 · 4,336 30-day fills
Patients486
Total drug cost$292,928
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliations

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

Other Physician Assistant, Medical providers in Berkley

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