Timothy J. Bucklaew, PA
NPI 1407310741ActiveIndividual· Physician Assistant· Canandaigua, NY
Physician Assistant (PA) with Rochester General Hospital and 2 other groups, practicing in Canandaigua, New York. 96 Medicare patients in 2024, $15,856 paid; all of their 244 Part D prescriptions were generic. Lists Rochester General Hospital as a hospital affiliation.
Overview
| NPI | 1407310741 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 30, 2019 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 023245 | 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 | 96 |
|---|---|
| Services billed | 4,326 across 43 procedure codes |
| Paid by Medicare | $15,856 |
Part D prescriptions in 2024
| Prescriptions (claims) | 244 · 244 30-day fills |
|---|---|
| Patients | 167 |
| Total drug cost | $1,277 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Rochester General HospitalRochester, NY · 1,182 clinicians
- Western New York Medical Practice PCFairport, NY · 524 clinicians
- Greater Rochester Orthopaedics, PCRochester, NY · 11 clinicians
Hospital affiliation
- Rochester General HospitalRochester, NY
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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