Kamylli J. Mendive, PA-C
NPI 1821653254ActiveIndividual· Physician Assistant· Tigard, OR
Physician Assistant (PA-C) in Tigard, Oregon, trained at Oregon Health Sciences University School of Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $36,001 for 428 claims, against $12,024 paid for services in 2024. Abbvie Inc. reported $26.82 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1821653254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 1, 2019 |
| Last updated in NPPES | Sep 30, 2024 |
| Certified by provider | Sep 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA202793 | OR |
| Physician Assistant | 363A00000X | 58813 | 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); Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 197 across 39 procedure codes |
| Paid by Medicare | $12,024 |
Part D prescriptions in 2024
| Prescriptions (claims) | 428 · 753 30-day fills |
|---|---|
| Patients | 246 |
| Total drug cost | $36,001 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Oregon Health Sciences University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
Hospital affiliations
- Providence Portland Medical CenterPortland, OR
- Providence St Vincent Medical CenterPortland, OR
Other facilities
- Providence Home HealthHome health agency · Portland, OR
Industry payments (Open Payments)
- 2024$26.82 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $26.82 | 1 |
What the 2024 payments were for
- Food and Beverage$26.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Tigard
- 1033998679
- 1043717390
- 1073294245
- 1174167555
- 1194343640
- 1255926325
- 1295818383
- 1376935270
- 1407205578
- 1417433145
- 1457667891
- 1568749539
All 50 physician assistants in Tigard · All physician assistants in Oregon