Jacob Henry Ettinger, PA
NPI 1063441517ActiveIndividual· Physician Assistant, Surgical· Great Neck, NY
Physician Assistant, Surgical (PA) with North Shore-Lij Medical PC, practicing in Great Neck, New York. Their prescriptions cost Medicare Part D more than their services did: $2,632 for 25 claims, against $1,201 paid for services in 2024. Lists North Shore University Hospital as a hospital affiliation.
Overview
| NPI | 1063441517 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 30, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 009528 | NY |
| Physician Assistant | 363A00000X | 009528 | 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 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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 22 across 5 procedure codes |
| Paid by Medicare | $1,201 |
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 25 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $2,632 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- North Shore University HospitalManhasset, NY
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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