Nicholas Ivar Cookson, PA-C
NPI 1104318427ActiveIndividual· Physician Assistant· Worcester, MA
Physician Assistant (PA-C) with Umass Memorial Medical Group Inc and 1 other group, practicing in Worcester, Massachusetts. 34 Medicare patients in 2024, $4,207 paid; nearly all of their 97 Part D prescriptions were generic (94%). Lists Rhode Island Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104318427 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 1, 2018 |
| Last updated in NPPES | Oct 9, 2025 |
| Certified by provider | Oct 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA101610 | MA |
| Physician Assistant | 363A00000X | PA01048 | RI |
| Physician Assistant | 363A00000X | — | — |
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 (MA); Practitioner - Physician Assistant (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 50 across 13 procedure codes |
| Paid by Medicare | $4,207 |
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 110 30-day fills |
|---|---|
| Patients | 24 |
| Total drug cost | $1,700 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
- Rhode Island HospitalProvidence, RI · 437 clinicians
Hospital affiliations
- Rhode Island HospitalProvidence, RI
- Umass Memorial Medical Center/University CampusWorcester, MA
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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