Kelly R. Ridge, PAC
NPI 1992789739ActiveIndividual· Physician Assistant, Surgical· Brockton, MA
Physician Assistant, Surgical (PAC) with Signature Healthcare Medical Group Inc, practicing in Brockton, Massachusetts. 505 Medicare patients in 2024, $71,409 paid; nearly all of their 150 Part D prescriptions were generic (98%). Lists Signature Healthcare Brockton Hospital as a hospital affiliation.
Overview
| NPI | 1992789739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Dec 5, 2005 |
| Last updated in NPPES | Feb 10, 2025 |
| Certified by provider | Feb 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 1104 | MA |
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 (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 505 |
|---|---|
| Services billed | 22,035 across 43 procedure codes |
| Paid by Medicare | $71,409 |
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 150 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $1,181 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Signature Healthcare Medical Group IncBrockton, MA · 247 clinicians
Hospital affiliation
- Signature Healthcare Brockton HospitalBrockton, MA
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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