Robert James Pickeral Jr., PAC
NPI 1205469186ActiveIndividual· Physician Assistant, Medical· Watertown, NY
Physician Assistant, Medical (PAC) with Watertown Internists PC and 1 other group, practicing in Watertown, New York. Their prescriptions cost Medicare Part D more than their services did: $430,369 for 3,052 claims, against $57,073 paid for services in 2024. Novo Nordisk Inc was the largest of 11 companies reporting payments in 2025, $591.19 in all, mostly food and beverage. Lists Samaritan Medical Center as a hospital affiliation.
Overview
| NPI | 1205469186 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Feb 19, 2020 |
| Last updated in NPPES | Mar 3, 2020 |
| Certified by provider | Mar 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 024741 | 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 | 340 |
|---|---|
| Services billed | 2,098 across 65 procedure codes |
| Paid by Medicare | $57,073 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,052 · 6,134 30-day fills |
|---|---|
| Patients | 469 |
| Total drug cost | $430,369 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Watertown Internists PCWatertown, NY · 10 clinicians
- Watertown Urgent Care PLLCWatertown, MA · 10 clinicians
Hospital affiliation
- Samaritan Medical CenterWatertown, NY
Other facilities
- Jefferson Co Pub Hlth Svs ChhaHome health agency · Watertown, NY
- Samaritan Home Health, IncHome health agency · Watertown, NY
Industry payments (Open Payments)
- 2025$591.19 · 23 payments from 11 companies
- 2024$1,021 · 33 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $200.41 | 6 |
| Astrazeneca Pharmaceuticals LP | $160.72 | 5 |
| E.R. Squibb & Sons, L.L.C. | $35.49 | 2 |
| Madrigal Pharmaceuticals | $35.21 | 1 |
| Phathom Pharmaceuticals, Inc. | $34.84 | 3 |
What the 2025 payments were for
- Food and Beverage$591.19 · 23 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 physician assistants in Watertown · All physician assistants in New York