Jason Buckaloo, PA
NPI 1164016663ActiveIndividual· Physician Assistant· Tyler, TX
Physician Assistant (PA) with Etmc Physician Group, Inc., practicing in Tyler, Texas. Part D covered 56 prescriptions written in 2024, 95% of them generic. Lists Ut Health East Texas Tyler Regional Hospital as a hospital affiliation.
Overview
| NPI | 1164016663 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Feb 24, 2021 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA19895 | TX |
| Physician Assistant, Surgical | 363AS0400X | PA19895 | TX |
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 (FL); Practitioner - Physician Assistant (TX) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 58 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $406.71 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Etmc Physician Group, Inc.Flint, TX · 381 clinicians
Hospital affiliation
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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All 103 physician assistants in Tyler · All physician assistants in Texas