Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Keith R Lemay , PA-C

Physician Assistant • Gardnerville, NV

Active NPI 1922379759 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1516 Virginia Ranch Rd
Gardnerville, NV 894105794

Call 7757834823 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1516 Virginia Ranch Rd

Gardnerville, NV 894105794

Telephone 7757834823
Organization at the Same NPPES Address or Phone
Roger Rogalski Md Chtd Facility NPI 1588608913

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Carson Valley Medical Center Rural Health Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Medicare patients

37 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $714 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $568 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

9,220 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$441,581 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $660.32 across 27 records.

By nature of payment

  • Food and Beverage: $660.32 across 27 records.

Reporting-company totals (3 largest of 15)

  • BridgeBio Pharma, Inc.: $137.84 across 1 record.
  • Novartis Pharmaceuticals Corporation: $85.92 across 3 records.
  • GlaxoSmithKline, LLC.: $76.80 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Keith Lemay has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Keith Lemay as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gardnerville and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: 239. Middle half: 99 to 900.

Too few clinicians listed under Physician Assistant in Gardnerville have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $19,039. Middle half: $8,218 to $51,606.

Too few clinicians listed under Physician Assistant in Gardnerville have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Nevada (2024, 551 clinicians with data). Median for this group: $14,357. Middle half: $5,921 to $37,821.

Too few clinicians listed under Physician Assistant in Gardnerville have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: 324. Middle half: 94 to 1,300.

Too few clinicians listed under Physician Assistant in Gardnerville have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Nevada (2024, 617 clinicians with data). Median for this group: $7,774. Middle half: $876 to $106,842.

Too few clinicians listed under Physician Assistant in Gardnerville have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Physician Assistant with a practice address in Gardnerville, NV (1,084 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 27 records totaling $660.32.

Manufacturer Payment Nature Product Type Amount ($)
BridgeBio Pharma, Inc.
Food and Beverage
In-kind items and services
Attruby General $137.84
Edwards Lifesciences Corporation
Food and Beverage
In-kind items and services
SAPIEN 3 Ultra RESILIA General $33.14
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $31.63
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $28.48
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $25.81
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $25.19
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $24.28
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $22.89
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $22.35
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $22.14
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $21.00
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
CAPVAXIVE General $19.94
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $19.14
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $18.81
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $18.73
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $18.38
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $17.69
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $16.71
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $15.96
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Veozah General $15.75
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $15.55
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $15.52
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $15.18
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $15.09
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $14.76

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
16 14 $82.00 $44.60

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 215 18,547 $1,614.05 88
Atorvastatin Calcium Atorvastatin Calcium 210 18,164 $3,789.48 91
Levothyroxine Sodium Levothyroxine Sodium 194 16,667 $2,296.02 78
Losartan Potassium Losartan Potassium 187 15,806 $2,239.38 77
Rosuvastatin Calcium Rosuvastatin Calcium 157 13,820 $3,039.12 69
Lisinopril Lisinopril 143 12,525 $922.24 63
Gabapentin Gabapentin 125 8,131 $3,046.30 51
Albuterol Sulfate Hfa Albuterol Sulfate 107 3,090 $2,625.57 44
Tamsulosin Hcl Tamsulosin Hcl 90 7,942 $2,786.31 46
Omeprazole Omeprazole 80 6,425 $1,144.69 38
Zolpidem Tartrate Zolpidem Tartrate 72 3,114 $625.31 24
Simvastatin Simvastatin 67 5,730 $631.04 29
Trazodone Hcl Trazodone Hcl 65 5,168 $1,025.40 30
Meloxicam Meloxicam 60 3,435 $279.71 30
Eliquis Apixaban 59 3,987 $78,263.58 24
Pantoprazole Sodium Pantoprazole Sodium 58 5,130 $1,111.57 23
Alprazolam Alprazolam 57 2,456 $515.58 19
Hydrochlorothiazide Hydrochlorothiazide 52 4,500 $221.03 25
Trulicity Dulaglutide 47 1,820 $60,725.35 12
Furosemide Furosemide 46 3,572 $299.52 23
Duloxetine Hcl Duloxetine Hcl 46 3,884 $2,051.82 19
Jardiance Empagliflozin 46 3,660 $68,626.43 21
Metoprolol Succinate Metoprolol Succinate 43 3,105 $539.41 18
Metformin Hcl Er Metformin Hcl 43 3,825 $327.81 20
Finasteride Finasteride 40 3,180 $585.53 15

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA60250445

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230914003535

Enrollment State Jurisdiction

NV

PECOS Control ID

3375705072

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Carson Valley Medical Center Rural Health Clinic

897 Ironwood Dr, Minden, NV 894235198

Phone: 7757821610

Carson Valley Medical Center Rural Health Clinic

1520 Virginia Ranch Rd, Gardnerville, NV 894105731

Phone: 7757821550

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Casey Driscoll

Nurse Practitioner - Family

NPI 1063261600
Joseph Pollino , PA-C

Physician Assistant

NPI 1235610635

Physician Assistant (Certified)

Lisa Pualuan

Nurse Practitioner

NPI 1245942937

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location September 06, 2023

Registered at 1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 894105794 (Tel: 7757834823)

📍
Updated Business Mailing Address September 06, 2023

Registered at 1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 894105794 (Tel: 7757834823)

âś…
NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 25, 2012

Registered at 4545 CORDATA PKWY, BELLINGHAM, WA 982267123 (Tel: 3607382200)

📍
Business Mailing Address (Initial Record) January 25, 2012

Registered at PO BOX 5096, BELLINGHAM, WA 982275096 (Tel: 3607382200)

👤
Provider Name / Credentials (Initial Record) January 25, 2012

Recorded as KEITH LEMAY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Physician Assistant (license number reported to NPPES: WA PA60250445)

🟢
Initial NPI Registration & Enumeration January 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922379759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2012
Last Update: September 06, 2023
Sole Proprietor: No

Other Physician Assistants in Gardnerville

Mailing Address

1516 Virginia Ranch Rd

Gardnerville, NV 894105794

Phone: 7757834823

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.