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Lydia Vannatta, PA-C

NPI 1801277850ActiveIndividual· Physician Assistant· Rock Island, IL

Physician Assistant (PA-C) with Iowa Physicians Clinic Medical Foundation, practicing in Rock Island, Illinois. 240 Medicare patients in 2024, $20,377 paid; nearly all of their 190 Part D prescriptions were generic (94%). Lists Trinity Muscatine and 1 other hospital as hospital affiliations.

Overview

NPI1801277850
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedJun 16, 2015
Last updated in NPPESJan 24, 2023
Certified by providerJan 24, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X078202IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients240
Services billed294 across 15 procedure codes
Paid by Medicare$20,377

Part D prescriptions in 2024

Prescriptions (claims)190 · 193 30-day fills
Patients134
Total drug cost$6,453
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysician Assistant

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 providers in Rock Island

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