Roland Godfrey Ottley, P.A
NPI 1154475770ActiveIndividual· Physician Assistant, Surgical· Brooklyn, NY
Physician Assistant, Surgical (P.A) with Interfaith Professional Physician Services PC, practicing in Brooklyn, New York. Mostly services rather than prescriptions: Medicare paid $12,508 for 102 patients in 2024, with only 38 Part D claims. Takeda Pharmaceuticals U.S.A., Inc. reported $20.72 in payments in 2024, mostly food and beverage. Lists Brookdale Hospital Medical Center as a hospital affiliation.
Overview
| NPI | 1154475770 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A |
| Sole proprietor | No |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Jun 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 003792 | 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 | 102 |
|---|---|
| Services billed | 226 across 6 procedure codes |
| Paid by Medicare | $12,508 |
Part D prescriptions in 2024
| Prescriptions (claims) | 38 · 94 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $554.45 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Interfaith Professional Physician Services PCBrooklyn, NY · 384 clinicians
Hospital affiliation
- Brookdale Hospital Medical CenterBrooklyn, NY
Industry payments (Open Payments)
- 2024$20.72 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $20.72 | 1 |
What the 2024 payments were for
- Food and Beverage$20.72 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 171 surgical physician assistants in Brooklyn · All surgical physician assistants in New York