Victoria Elisabeth Walters
NPI 1104670512ActiveIndividual· Physician Assistant· Poughkeepsie, NY
Physician Assistant with Optum Medical Care PC, practicing in Poughkeepsie, New York. Part D covered 11 prescriptions written in 2024, 100% of them generic. Lists Vassar Brothers Medical Center as a hospital affiliation.
Overview
| NPI | 1104670512 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 12, 2024 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 032004 | NY |
| 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 (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 17 30-day fills |
|---|---|
| Total drug cost | $525.23 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Optum Medical Care PCPoughkeepsie, NY · 1,010 clinicians
Hospital affiliation
- Vassar Brothers Medical CenterPoughkeepsie, NY
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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