Kaisa Lyn Dodge, PA
NPI 1992485643ActiveIndividual· Physician Assistant· Apple Valley, CA
Physician Assistant (PA) in Apple Valley, California, licensed in CA, with an NPI issued in July 2023. 200 Medicare patients in 2024, $24,116 paid; nearly all of their 503 Part D prescriptions were generic (95%).
Overview
| NPI | 1992485643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 18, 2023 |
| Last updated in NPPES | Feb 5, 2024 |
| Certified by provider | Feb 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 63525 | CA |
| Physician Assistant, Medical | 363AM0700X | — | — |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 200 |
|---|---|
| Services billed | 295 across 17 procedure codes |
| Paid by Medicare | $24,116 |
Part D prescriptions in 2024
| Prescriptions (claims) | 503 · 505 30-day fills |
|---|---|
| Patients | 299 |
| Total drug cost | $6,423 |
| Generic share | 95% 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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