Randall Douglas Kelly, MHS, DMSC, PA-C
NPI 1922393974ActiveIndividual· Physician Assistant· Hermiston, OR
Physician Assistant (MHS, DMSC, PA-C) with Oregon Washington Health Network, practicing in Hermiston, Oregon. Part D covered 171 prescriptions written in 2024, 90% of them generic. Braeburn Inc. reported $129.75 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1922393974 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MHS, DMSC, PA-C |
| Sole proprietor | No |
| NPI issued | Jun 16, 2011 |
| Last updated in NPPES | Mar 27, 2026 |
| Certified by provider | Mar 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA184529 | OR |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 184529 | OR |
| Physician Assistant, Medical | 363AM0700X | PA184529 | OR |
| Preventive Medicine, Addiction Medicine | 2083A0300X | PA184529 | OR |
| Physician Assistant | 363A00000X | PA60205772 | WA |
| Preventive Medicine, Addiction Medicine | 2083A0300X | PA60205772 | WA |
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 (OR); Practitioner - Physician Assistant (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 171 · 171 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $46,815 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Oregon Washington Health NetworkPendleton, OR · 3 clinicians
Industry payments (Open Payments)
- 2025$129.75 · 3 payments from 1 company
- 2024$15.52 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Braeburn Inc. | $129.75 | 3 |
What the 2025 payments were for
- Food and Beverage$129.75 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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