Skip to content

Kenneth Ryan Mataragas, PA-C

NPI 1003326133ActiveIndividual· Physician Assistant· Port Jefferson Station, NY

Physician Assistant (PA-C) with Optum Medical Care PC, practicing in Port Jefferson Station, New York. Their prescriptions cost Medicare Part D more than their services did: $366,746 for 485 claims, against $45,566 paid for services in 2024. Botanix Sb Inc was the largest of 3 companies reporting payments in 2025, $55.08 in all, mostly food and beverage.

Overview

NPI1003326133
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 3, 2017
Last updated in NPPESJan 17, 2024
Certified by providerJan 14, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients364
Services billed1,190 across 39 procedure codes
Paid by Medicare$45,566

Part D prescriptions in 2024

Prescriptions (claims)485 · 582 30-day fills
Patients231
Total drug cost$366,746
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$55.08 · 3 payments from 3 companies
  • 2024$286.25 · 9 payments from 2 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$55.08 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Port Jefferson Station

All Physician Assistant providers in New York →