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Callie Michelle Detz, PA-C

NPI 1952057929ActiveIndividual· Physician Assistant· Leesville, LA

Physician Assistant (PA-C) with Calcasieu Urgent Care LLC and 1 other group, practicing in Leesville, Louisiana. 15 Medicare patients in 2024, $1,424 paid; nearly all of their 76 Part D prescriptions were generic (97%). Lists Beauregard Memorial Hospital and 1 other hospital as hospital affiliations.

Overview

NPI1952057929
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedFeb 28, 2022
Last updated in NPPESMar 2, 2022
Certified by providerMar 2, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X330204LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (LA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients15
Services billed16 across 4 procedure codes
Paid by Medicare$1,424

Part D prescriptions in 2024

Prescriptions (claims)76 · 76 30-day fills
Patients50
Total drug cost$1,038
Generic share97% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliations

Source: CMS Care Compare

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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