Kaitlyn Rae Roeda, PA-C
NPI 1013697218ActiveIndividual· Physician Assistant· Valley Stream, NY
Physician Assistant (PA-C) with North Shore-Lij Medical PC, practicing in Valley Stream, New York. Mostly services rather than prescriptions: Medicare paid $5,890 for 57 patients in 2024, with only 24 Part D claims. Ethicon US, LLC reported $61.62 in payments in 2025, mostly food and beverage. Lists Long Island Jewish Medical Center as a hospital affiliation.
Overview
| NPI | 1013697218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 21, 2023 |
| Last updated in NPPES | Jul 21, 2023 |
| Certified by provider | Jul 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 030105 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 66 across 16 procedure codes |
| Paid by Medicare | $5,890 |
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $209.64 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- Long Island Jewish Medical CenterNew Hyde Park, NY
Industry payments (Open Payments)
- 2025$61.62 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $61.62 | 2 |
What the 2025 payments were for
- Food and Beverage$61.62 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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