Jesse Anderson
NPI 1104378215ActiveIndividual· Physician Assistant· Jamestown, NY
Physician Assistant in Jamestown, New York, licensed in NY, with an NPI issued in October 2016. 177 Medicare patients in 2024, $17,141 paid; nearly all of their 223 Part D prescriptions were generic (97%).
Overview
| NPI | 1104378215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Apr 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 20646 | 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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 209 across 15 procedure codes |
| Paid by Medicare | $17,141 |
Part D prescriptions in 2024
| Prescriptions (claims) | 223 · 225 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $4,878 |
| Generic share | 97% of claims |
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 Jamestown
- 1114369089
- 1215311972
- 1245854579
- 1336414796
- 1417393927
- 1558054031
- 1710733415
- 1861080285
- 1881884526
- 1962957761
- 1043746241
- 1114987625
All 43 physician assistants in Jamestown · All physician assistants in New York