Casey S. Revenko, PHYSICIAN ASSISTANT
NPI 1790341618ActiveIndividual· Physician Assistant· Oakland, CA
Physician Assistant (PHYSICIAN ASSISTANT) with Sutter Bay Medical Foundation, practicing in Oakland, California. 369 Medicare patients in 2024, $142,057 paid; nearly all of their 236 Part D prescriptions were generic (94%). Smith+nephew, Inc. was the largest of 2 companies reporting payments in 2025, $203.37 in all, mostly food and beverage. Lists Alta Bates Summit Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1790341618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | May 15, 2019 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA56633 | CA |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | PA56633 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 369 |
|---|---|
| Services billed | 14,068 across 42 procedure codes |
| Paid by Medicare | $142,057 |
Part D prescriptions in 2024
| Prescriptions (claims) | 236 · 255 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $10,026 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliations
- Alta Bates Summit Medical CenterOakland, CA
- Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA
- Eden Medical CenterCastro Valley, CA
Other facilities
- Sutter Care at HomeHome health agency · Concord, CA
Industry payments (Open Payments)
- 2025$203.37 · 3 payments from 2 companies
- 2024$106.02 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $138.87 | 2 |
| Convatec Inc. | $64.50 | 1 |
What the 2025 payments were for
- Food and Beverage$203.37 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 174 physician assistants in Oakland · All physician assistants in California