Thomas Elder Kosh, PA-C
NPI 1881061208ActiveIndividual· Physician Assistant· Rowlett, TX
Physician Assistant (PA-C) in Rowlett, Texas, licensed in TX, with an NPI issued in September 2015. Their prescriptions cost Medicare Part D more than their services did: $187,880 for 1,007 claims, against $116,041 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 29 companies reporting payments in 2025, $3,033 in all, mostly food and beverage.
Overview
| NPI | 1881061208 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 2, 2015 |
| Last updated in NPPES | Jun 10, 2022 |
| Certified by provider | Jun 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA09965 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 275 |
|---|---|
| Services billed | 5,914 across 61 procedure codes |
| Paid by Medicare | $116,041 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,007 · 1,323 30-day fills |
|---|---|
| Patients | 255 |
| Total drug cost | $187,880 |
| Generic share | 86% of claims |
Industry payments (Open Payments)
- 2025$3,033 · 86 payments from 29 companies
- 2024$4,109 · 144 payments from 36 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $1,029 | 13 |
| Daiichi Sankyo Inc. | $375.01 | 7 |
| Janssen Biotech, Inc. | $181.79 | 5 |
| E.R. Squibb & Sons, L.L.C. | $170.44 | 10 |
| Tempus Ai, Inc | $142.31 | 6 |
What the 2025 payments were for
- Food and Beverage$1,763 · 70 payments
- Long term medical supply or device loan$999.96 · 12 payments
- Education$269.74 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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