Kathleen Sarah Derr, PA-C
NPI 1912538562ActiveIndividual· Physician Assistant· Dayton, OH
Physician Assistant (PA-C) with Kettering Independent Medical Group Inc, practicing in Dayton, Ohio. Their prescriptions cost Medicare Part D more than their services did: $79,844 for 260 claims, against $10,360 paid for services in 2024. Lists Kettering Health Dayton and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1912538562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 3, 2020 |
| Last updated in NPPES | Oct 4, 2022 |
| Certified by provider | Oct 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.006351RX | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 150 |
|---|---|
| Services billed | 178 across 9 procedure codes |
| Paid by Medicare | $10,360 |
Part D prescriptions in 2024
| Prescriptions (claims) | 260 · 533 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $79,844 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Kettering Independent Medical Group IncXenia, OH · 710 clinicians
Hospital affiliations
- Kettering Health DaytonDayton, OH
- Kettering Health Main CampusKettering, OH
- Kettering Health MiamisburgMiamisburg, OH
- Soin Medical CenterBeaver Creek, OH
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 251 physician assistants in Dayton · All physician assistants in Ohio