Robert M. Lavigne, P.A.
NPI 1093003485ActiveIndividual· Physician Assistant, Medical· San Diego, CA
Physician Assistant, Medical (P.A.) with Robert Zalewski-Zaragoza MD Inc, practicing in San Diego, California. Their prescriptions cost Medicare Part D more than their services did: $815,637 for 4,878 claims, against $5,642 paid for services in 2024. Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) was the largest of 2 companies reporting payments in 2025, $281.02 in all, mostly food and beverage.
Overview
| NPI | 1093003485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2011 |
| Last updated in NPPES | May 14, 2020 |
| Certified by provider | May 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA21564 | CA |
| Physician Assistant | 363A00000X | PA21564 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 96 across 9 procedure codes |
| Paid by Medicare | $5,642 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,878 · 4,978 30-day fills |
|---|---|
| Patients | 297 |
| Total drug cost | $815,637 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Robert Zalewski-Zaragoza MD IncSan Diego, CA · 10 clinicians
Industry payments (Open Payments)
- 2025$281.02 · 2 payments from 2 companies
- 2024$315.16 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $141.48 | 1 |
| E.R. Squibb & Sons, L.L.C. | $139.54 | 1 |
What the 2025 payments were for
- Food and Beverage$281.02 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 174 physician assistants in San Diego · All physician assistants in California