Mary E. Grandon, PA-C
NPI 1790754638ActiveIndividual· Physician Assistant· Clendenin, WV
Physician Assistant (PA-C) with Cabin Creek Health Center Inc, practicing in Clendenin, West Virginia. Part D covered 44 prescriptions written in 2024, 95% of them generic.
Overview
| NPI | 1790754638 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | May 21, 2020 |
| Certified by provider | May 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 00616 | WV |
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 (WV) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 44 · 60 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $565.45 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Cabin Creek Health Center IncDawes, WV · 40 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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