Clyde Terrence Bancroft, PA
NPI 1841397742ActiveIndividual· Physician Assistant· Roseburg, OR
Physician Assistant (PA) with Centennial Medical Group East LLC and 1 other group, practicing in Roseburg, Oregon. Their prescriptions cost Medicare Part D more than their services did: $770,671 for 9,270 claims, against $2,407 paid for services in 2024. Tactile Systems Technology Inc reported $25.20 in payments in 2025, mostly food and beverage. Lists Mercy Medical Center as a hospital affiliation.
Overview
| NPI | 1841397742 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Feb 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA00866 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 89 across 15 procedure codes |
| Paid by Medicare | $2,407 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,270 · 20,880 30-day fills |
|---|---|
| Patients | 701 |
| Total drug cost | $770,671 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Centennial Medical Group East LLCRoseburg, OR · 65 clinicians
- Evergreen Family Medicine PCRoseburg, OR · 54 clinicians
Hospital affiliation
- Mercy Medical CenterRoseburg, OR
Other facilities
- Amedisys Home Health CareHome health agency · Roseburg, OR
Industry payments (Open Payments)
- 2025$25.20 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tactile Systems Technology Inc | $25.20 | 1 |
What the 2025 payments were for
- Food and Beverage$25.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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