Carolyn S. Im
NPI 1912550989ActiveIndividual· Physician Assistant, Surgical· Englewood, CO
Physician Assistant, Surgical with Portercare Adventist Health System, practicing in Englewood, Colorado. Their prescriptions cost Medicare Part D more than their services did: $7,638 for 116 claims, against $2,340 paid for services in 2024. Lists Adventhealth Littleton and 1 other hospital as hospital affiliations.
Overview
| NPI | 1912550989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 19, 2019 |
| Last updated in NPPES | Mar 20, 2024 |
| Certified by provider | Mar 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
| Physician Assistant | 363A00000X | PA.0006728 | CO |
| Physician Assistant, Medical | 363AM0700X | PA.0006728 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 32 across 6 procedure codes |
| Paid by Medicare | $2,340 |
Part D prescriptions in 2024
| Prescriptions (claims) | 116 · 150 30-day fills |
|---|---|
| Patients | 73 |
| Total drug cost | $7,638 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Portercare Adventist Health SystemDenver, CO · 774 clinicians
Hospital affiliations
- Adventhealth LittletonLittleton, CO
- Adventhealth PorterDenver, CO
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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