Jackson Deen, PA
NPI 1154891174ActiveIndividual· Physician Assistant· Gloucester, VA
Physician Assistant (PA) in Gloucester, Virginia, with an NPI issued in December 2018. 433 Medicare patients in 2024, $40,779 paid; nearly all of their 305 Part D prescriptions were generic (93%).
Overview
| NPI | 1154891174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Dec 3, 2018 |
| Last updated in NPPES | Dec 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 433 |
|---|---|
| Services billed | 492 across 17 procedure codes |
| Paid by Medicare | $40,779 |
Part D prescriptions in 2024
| Prescriptions (claims) | 305 · 312 30-day fills |
|---|---|
| Patients | 234 |
| Total drug cost | $6,035 |
| Generic share | 93% of claims |
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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