Henry Knoop IV, RPA-C
NPI 1790912152ActiveIndividual· Physician Assistant, Medical· Lakeport, CA
Physician Assistant, Medical (RPA-C) with Mary Imogene Bassett Hospital, practicing in Lakeport, California. Their prescriptions cost Medicare Part D more than their services did: $6,907 for 141 claims, against $2,377 paid for services in 2024. Lists Bassett Healthcare as a hospital affiliation.
Overview
| NPI | 1790912152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPA-C |
| Sole proprietor | Yes |
| NPI issued | Jun 12, 2009 |
| Last updated in NPPES | Feb 15, 2021 |
| Certified by provider | Feb 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 013106 | NY |
| Physician Assistant | 363A00000X | 085003747 | IL |
| Physician Assistant | 363A00000X | PA-21953 | 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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 57 across 7 procedure codes |
| Paid by Medicare | $2,377 |
Part D prescriptions in 2024
| Prescriptions (claims) | 141 · 231 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $6,907 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mary Imogene Bassett HospitalSidney, NY · 763 clinicians
Hospital affiliation
- Bassett HealthcareCooperstown, NY
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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