Tracy Le Dziacky, PA
NPI 1972257558ActiveIndividual· Physician Assistant· Lincoln, NE
Physician Assistant (PA) with Capital Medical Clinic LLP, practicing in Lincoln, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $86,390 for 713 claims, against $9,460 paid for services in 2024. Novo Nordisk Inc was the largest of 18 companies reporting payments in 2025, $1,049 in all, mostly food and beverage. Lists Bryan Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1972257558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2022 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Nov 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9115362 | FL |
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 (FL); Practitioner - Physician Assistant (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 147 across 2 procedure codes |
| Paid by Medicare | $9,460 |
Part D prescriptions in 2024
| Prescriptions (claims) | 713 · 1,939 30-day fills |
|---|---|
| Patients | 184 |
| Total drug cost | $86,390 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Capital Medical Clinic LLPLincoln, NE · 7 clinicians
Hospital affiliations
- Bryan Medical CenterLincoln, NE
- Chi Health St. ElizabethLincoln, NE
Other facilities
- Madonna Rehabilitation Hospital LincolnInpatient rehabilitation facility · Lincoln, NE
Industry payments (Open Payments)
- 2025$1,049 · 44 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $279.19 | 11 |
| Actelion Pharmaceuticals US, Inc. | $158.13 | 4 |
| Astellas Pharma US Inc | $152.81 | 5 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $95.58 | 4 |
| Lundbeck LLC | $36.73 | 2 |
What the 2025 payments were for
- Food and Beverage$1,049 · 44 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Lincoln
- 1003135229
- 1003221029
- 1003554213
- 1013104264
- 1013400662
- 1013446004
- 1013446913
- 1013574862
- 1013656990
- 1013967330
- 1023043395
- 1033601125
All 306 physician assistants in Lincoln · All physician assistants in Nebraska