Marianne K. Dezelan, PAC
NPI 1871619171ActiveIndividual· Physician Assistant· Rancho Mirage, CA
Physician Assistant (PAC) with Desert Orthopedic Center A Medical Group Inc, practicing in Rancho Mirage, California. 670 Medicare patients in 2024, $113,986 paid; nearly all of their 4,804 Part D prescriptions were generic (97%). Lists Eisenhower Medical Center as a hospital affiliation.
Overview
| NPI | 1871619171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA14742 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 670 |
|---|---|
| Services billed | 1,959 across 16 procedure codes |
| Paid by Medicare | $113,986 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,804 · 5,485 30-day fills |
|---|---|
| Patients | 610 |
| Total drug cost | $163,926 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Desert Orthopedic Center A Medical Group IncRancho Mirage, CA · 49 clinicians
Hospital affiliation
- Eisenhower Medical CenterRancho Mirage, CA
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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