Faison Jackson
NPI 1366132813ActiveIndividual· Physician Assistant· Los Angeles, CA
Physician Assistant with Divinity Medical Services PLLC and 2 other groups, practicing in Los Angeles, California. Their prescriptions cost Medicare Part D more than their services did: $5,602 for 55 claims, against $1,856 paid for services in 2024. Abbvie Inc. reported $62.32 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1366132813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 9, 2023 |
| Last updated in NPPES | Jul 13, 2026 |
| Certified by provider | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA64805 | CA |
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 (CA); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 32 across 14 procedure codes |
| Paid by Medicare | $1,856 |
Part D prescriptions in 2024
| Prescriptions (claims) | 55 · 55 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $5,602 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Divinity Medical Services PLLCYorktown Heights, NY · 94 clinicians
- Modern Physician Services PCBrooklyn, NY · 54 clinicians
- Urgent Care Physician of New York-Hartsdale PLLCNanuet, NY · 11 clinicians
Industry payments (Open Payments)
- 2025$62.32 · 3 payments from 1 company
- 2024$21.05 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $62.32 | 3 |
What the 2025 payments were for
- Food and Beverage$62.32 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 951 physician assistants in Los Angeles · All physician assistants in California