Ryan David Agostinelli, PA
NPI 1043763253ActiveIndividual· Physician Assistant· Spokane, WA
Physician Assistant (PA) with Pioneer Family Medicine PLLC, practicing in Spokane, Washington. Their prescriptions cost Medicare Part D more than their services did: $417,315 for 4,463 claims, against $50,180 paid for services in 2024. Novo Nordisk Inc was the largest of 13 companies reporting payments in 2025, $1,083 in all, mostly food and beverage. Lists Providence St Joseph Hospital as a hospital affiliation.
Overview
| NPI | 1043763253 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 25, 2016 |
| Last updated in NPPES | Oct 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | WA |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 241 |
|---|---|
| Services billed | 808 across 35 procedure codes |
| Paid by Medicare | $50,180 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,463 · 9,719 30-day fills |
|---|---|
| Patients | 424 |
| Total drug cost | $417,315 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Pioneer Family Medicine PLLCDeer Park, WA · 3 clinicians
Hospital affiliation
- Providence St Joseph HospitalChewelah, WA
Other facilities
- Assured Home HealthHome health agency · Spokane Valley, WA
- Providence at Home With Compassus Home Health, InwaHome health agency · Spokane Valley, WA
Industry payments (Open Payments)
- 2025$1,083 · 46 payments from 13 companies
- 2024$897.46 · 45 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $335.82 | 12 |
| Abbvie Inc. | $227.24 | 11 |
| Corcept Therapeutics | $132.54 | 5 |
| Exact Sciences Corporation | $86.05 | 4 |
| Pfizer Inc. | $77.55 | 3 |
What the 2025 payments were for
- Food and Beverage$1,083 · 46 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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