Jacob Putkowski, PA-C
NPI 1093054652ActiveIndividual· Physician Assistant· Plantation, FL
Physician Assistant (PA-C) with North Shore Lij Urgent Care PC, practicing in Plantation, Florida. 458 Medicare patients in 2024, $51,842 paid; nearly all of their 294 Part D prescriptions were generic (93%). Lists Danbury Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1093054652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Feb 1, 2013 |
| Last updated in NPPES | Jan 28, 2022 |
| Certified by provider | Jan 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9107020 | FL |
| Physician Assistant | 363A00000X | 027832 | NY |
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 (CT); Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 458 |
|---|---|
| Services billed | 523 across 14 procedure codes |
| Paid by Medicare | $51,842 |
Part D prescriptions in 2024
| Prescriptions (claims) | 294 · 296 30-day fills |
|---|---|
| Patients | 224 |
| Total drug cost | $7,589 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore Lij Urgent Care PCPlainview, NY · 390 clinicians
Hospital affiliations
- Danbury HospitalDanbury, CT
- Putnam Hospital CenterCarmel, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Plantation
- 1003365438
- 1205402732
- 1255735510
- 1275672842
- 1285222315
- 1356989305
- 1366576423
- 1437335213
- 1447838503
- 1518484237
- 1558022848
- 1568717536
All 78 physician assistants in Plantation · All physician assistants in Florida