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Autumn Skye Childers, PA-C

NPI 1235829961ActiveIndividual· Physician Assistant· Cooperstown, NY

Physician Assistant (PA-C) with Mary Imogene Bassett Hospital, practicing in Cooperstown, New York. 25 Medicare patients in 2024, $1,368 paid; nearly all of their 59 Part D prescriptions were generic (93%).

Overview

NPI1235829961
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedMay 8, 2023
Last updated in NPPESFeb 24, 2025
Certified by providerFeb 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X032655NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients25
Services billed27 across 9 procedure codes
Paid by Medicare$1,368

Part D prescriptions in 2024

Prescriptions (claims)59 · 59 30-day fills
Patients42
Total drug cost$727.30
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Cooperstown

All 89 physician assistants in Cooperstown · All physician assistants in New York