Jon Michael Champagne, PA-C
NPI 1376098483ActiveIndividual· Physician Assistant, Surgical· West Roxbury, MA
Physician Assistant, Surgical (PA-C) in West Roxbury, Massachusetts, licensed in MA, with an NPI issued in August 2016. Part D covered 19 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1376098483 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 18, 2016 |
| Last updated in NPPES | May 17, 2021 |
| Certified by provider | Apr 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA5842 | MA |
| Physician Assistant | 363A00000X | PA5842 | MA |
| Physician Assistant, Medical | 363AM0700X | PA5842 | MA |
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 Order and Referring Only - Physician Assistant (MA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 19 · 19 30-day fills |
|---|---|
| Total drug cost | $1,344 |
| Generic share | 89% of claims |
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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