Brian Dam, PHYSICIAN ASSISTANT
NPI 1104337054ActiveIndividual· Physician Assistant· Fullerton, CA
Physician Assistant (PHYSICIAN ASSISTANT) in Fullerton, California, licensed in CA, with an NPI issued in October 2017. In 2024 Medicare paid $26,785 for 149 patients, and Part D covered 982 of their prescriptions, 89% of them generic. Boston Scientific Corporation reported $39.08 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1104337054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Oct 18, 2017 |
| Last updated in NPPES | Jan 1, 2022 |
| Certified by provider | Jan 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 54999 | 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 | 149 |
|---|---|
| Services billed | 802 across 45 procedure codes |
| Paid by Medicare | $26,785 |
Part D prescriptions in 2024
| Prescriptions (claims) | 982 · 985 30-day fills |
|---|---|
| Patients | 233 |
| Total drug cost | $22,304 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
- 2024$39.08 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $39.08 | 1 |
What the 2024 payments were for
- Food and Beverage$39.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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