Rylee M. Sigwarth, PA-C
NPI 1841945888ActiveIndividual· Physician Assistant· Dubuque, IA
Opted out of Medicare from April 2026 to April 2028. Physician Assistant (PA-C) in Dubuque, Iowa, licensed in IA, with an NPI issued in February 2022. Their prescriptions cost Medicare Part D more than their services did: $414,193 for 4,295 claims, against $14,441 paid for services in 2024.
Overview
| NPI | 1841945888 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 17, 2022 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 130472 | IA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2026 – Apr 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 414 across 13 procedure codes |
| Paid by Medicare | $14,441 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,295 · 9,973 30-day fills |
|---|---|
| Patients | 473 |
| Total drug cost | $414,193 |
| Generic share | 88% of claims |
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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All 54 physician assistants in Dubuque · All physician assistants in Iowa