Melissa Jane Tiedemann, RPA-C
NPI 1306837109ActiveIndividual· Physician Assistant, Medical· Bellmore, NY
Physician Assistant, Medical (RPA-C) with Optum Urgent Care PLLC, practicing in Bellmore, New York. In 2024 Medicare paid $40,953 for 410 patients, and Part D covered 347 of their prescriptions, 86% of them generic. Axsome Therapeutics, Inc. reported $35.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1306837109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPA-C |
| Sole proprietor | No |
| NPI issued | Oct 31, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 008301 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 410 |
|---|---|
| Services billed | 743 across 16 procedure codes |
| Paid by Medicare | $40,953 |
Part D prescriptions in 2024
| Prescriptions (claims) | 347 · 348 30-day fills |
|---|---|
| Patients | 281 |
| Total drug cost | $5,138 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Optum Urgent Care PLLCWest Islip, NY · 68 clinicians
Industry payments (Open Payments)
- 2025$35.00 · 1 payment from 1 company
- 2024$160.85 · 9 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $35.00 | 1 |
What the 2025 payments were for
- Food and Beverage$35.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Medical providers in Bellmore
- 1407000854
- 1538410063
- 1588831325
- 1770736142