Ethan M. Dekam
NPI 1033887385ActiveIndividual· Physician Assistant· Burnsville, MN
Physician Assistant with Park Nicollet Clinic, practicing in Burnsville, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $47,466 for 852 claims, against $27,466 paid for services in 2024. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1033887385 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 1, 2021 |
| Last updated in NPPES | Oct 20, 2023 |
| Certified by provider | Oct 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 770 across 61 procedure codes |
| Paid by Medicare | $27,466 |
Part D prescriptions in 2024
| Prescriptions (claims) | 852 · 1,777 30-day fills |
|---|---|
| Patients | 245 |
| Total drug cost | $47,466 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Other facilities
- Park Nicollet Methodist Hospital Care SvcsHome health agency · Minneapolis, MN
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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