Bobbie Rae Faivus Vangorder, P.A.
NPI 1154630366ActiveIndividual· Physician Assistant, Medical· Oswego, NY
Physician Assistant, Medical (P.A.) with Physician Care PC, practicing in Oswego, New York. Their prescriptions cost Medicare Part D more than their services did: $307,272 for 3,115 claims, against $29,757 paid for services in 2024. Abbvie Inc. was the largest of 21 companies reporting payments in 2025, $1,362 in all, mostly food and beverage. Lists Oswego Hospital as a hospital affiliation.
Overview
| NPI | 1154630366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 5, 2010 |
| Last updated in NPPES | Mar 29, 2023 |
| Certified by provider | Mar 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 014226 | 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 | 151 |
|---|---|
| Services billed | 698 across 31 procedure codes |
| Paid by Medicare | $29,757 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,115 · 6,200 30-day fills |
|---|---|
| Patients | 623 |
| Total drug cost | $307,272 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Physician Care PCOswego, NY · 74 clinicians
Hospital affiliation
- Oswego HospitalOswego, NY
Other facilities
- Centerwell Home HealthHome health agency · Liverpool, NY
- Oswego Health Home Care, LLCHome health agency · Fulton, NY
Industry payments (Open Payments)
- 2025$1,362 · 75 payments from 21 companies
- 2024$1,202 · 71 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $331.46 | 23 |
| Bayer Healthcare Pharmaceuticals Inc. | $122.55 | 6 |
| Astrazeneca Pharmaceuticals LP | $102.91 | 6 |
| Madrigal Pharmaceuticals | $85.30 | 2 |
| Amgen Inc. | $77.09 | 5 |
What the 2025 payments were for
- Food and Beverage$1,362 · 75 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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