Damien Anthony Decollibus, PA
NPI 1114009115ActiveIndividual· Physician Assistant, Surgical· New York, NY
Physician Assistant, Surgical (PA) in New York, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $54,681 for 304 claims, against $10,912 paid for services in 2024. Boston Scientific Corporation reported $20.62 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1114009115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Sep 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 010067 | 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 | 63 |
|---|---|
| Services billed | 139 across 12 procedure codes |
| Paid by Medicare | $10,912 |
Part D prescriptions in 2024
| Prescriptions (claims) | 304 · 489 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $54,681 |
| Generic share | 77% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Physician Assistant |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- Lenox Hill HospitalNew York, NY
Other facilities
- Vns of Ny Home Care ChhaHome health agency · New York, NY
Industry payments (Open Payments)
- 2025$20.62 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $20.62 | 1 |
What the 2025 payments were for
- Food and Beverage$20.62 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 458 surgical physician assistants in New York · All surgical physician assistants in New York