Tara Miranda Lewis, P.A.-C
NPI 1962682104ActiveIndividual· Physician Assistant· Ardmore, OK
Physician Assistant (P.A.-C) in Ardmore, Oklahoma, licensed in OK, with an NPI issued in November 2007. Their prescriptions cost Medicare Part D more than their services did: $215,293 for 2,382 claims, against $5,346 paid for services in 2024.
Overview
| NPI | 1962682104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C |
| Sole proprietor | No |
| NPI issued | Nov 5, 2007 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1659 | OK |
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 (OK); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 123 across 5 procedure codes |
| Paid by Medicare | $5,346 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,382 · 2,389 30-day fills |
|---|---|
| Patients | 109 |
| Total drug cost | $215,293 |
| Generic share | 80% of claims |
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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