April Starr Herd, PA-C
NPI 1811093826ActiveIndividual· Physician Assistant, Medical· Fresno, CA
Physician Assistant, Medical (PA-C) with Central California Faculty Medical Group Inc, practicing in Fresno, California. Their prescriptions cost Medicare Part D more than their services did: $3,662,090 for 6,431 claims, against $70,457 paid for services in 2024. Medtronic, Inc. reported $247.74 in payments in 2025, mostly food and beverage. Lists Clovis Community Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1811093826 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 16, 2006 |
| Last updated in NPPES | Nov 1, 2022 |
| Certified by provider | Nov 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 16761 | CA |
| Physician Assistant | 363A00000X | 16761 | 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 | 390 |
|---|---|
| Services billed | 1,133 across 10 procedure codes |
| Paid by Medicare | $70,457 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,431 · 15,090 30-day fills |
|---|---|
| Patients | 726 |
| Total drug cost | $3,662,090 |
| Generic share | 40% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Central California Faculty Medical Group IncFresno, CA · 265 clinicians
Hospital affiliations
- Clovis Community Medical CenterClovis, CA
- Saint Agnes Medical CenterFresno, CA
Industry payments (Open Payments)
- 2025$247.74 · 3 payments from 1 company
- 2024$334.75 · 16 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $247.74 | 3 |
What the 2025 payments were for
- Food and Beverage$247.74 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 78 physician assistants in Fresno · All physician assistants in California