Doctor profile · Federal record

Dr. Theresa Micknick, PAC

Medical Physician Assistant · Carbondale, PA

  • NPI 1164774261
  • 14 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
165 Fallbrook St
Carbondale, PA 18433
(570) 282-3151
Mailing address
217 Bell Mountain RD
Jermyn, PA 184333611

Credentials & registration

NPPES · NUCC
NPI registered
October 2012 — 14 yrs on file
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Pennsylvania #MA001651L

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164774261. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,977
Transactions
116
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
GlaxoSmithKline, LLC. 13 $411.56
Novo Nordisk Inc 28 $367.84
AstraZeneca Pharmaceuticals LP 10 $331.53
PFIZER INC. 15 $144.50
Salix Pharmaceuticals, a division of Bausch Health US, LLC 15 $132.61
Lundbeck LLC 11 $132.16
Lilly USA, LLC 5 $84.90
ABBVIE INC. 3 $74.18
Boehringer Ingelheim Pharmaceuticals, Inc. 4 $71.63
Otsuka America Pharmaceutical, Inc. 3 $58.93
Exact Sciences Corporation 2 $39.44
Amgen Inc. 2 $35.71
Alexion Pharmaceuticals, Inc. 1 $34.91
Merck Sharp & Dohme LLC 2 $30.46
Abbott Laboratories 2 $26.79

By nature of payment

Food and Beverage
$1,977

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,288
Patients
1,046
Total drug cost
$218,107
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 341 103 $4,806
Levothyroxine Sodium Generic 331 88 $5,499
Simvastatin Generic 298 78 $3,308
Omeprazole Generic 283 88 $4,945
Metoprolol Succinate Generic 260 70 $6,350
Metformin Hcl Generic 222 62 $2,388
Alprazolam Generic 203 52 $1,189
Lisinopril Generic 196 59 $2,056
Losartan Potassium Generic 193 50 $3,431
Rosuvastatin Calcium Generic 178 50 $4,250

Frequently asked questions

Auto-generated from federal data
What is Dr. Theresa Micknick's medical specialty?
Dr. Theresa Micknick practices Medical Physician Assistant in Carbondale, PA.
Where does Dr. Theresa Micknick practice?
Dr. Theresa Micknick practices at 165 Fallbrook St, Carbondale, PA 18433. Office phone: 5702823151.
What is Dr. Theresa Micknick's NPI?
Dr. Theresa Micknick's National Provider Identifier (NPI) is 1164774261, issued by NPPES.