Jessica Deklavon
NPI 1407505779ActiveIndividual· Physician Assistant· Hollywood, FL
Physician Assistant with South Broward Hospital District, practicing in Hollywood, Florida. 23 Medicare patients in 2024, $1,692 paid; nearly all of their 87 Part D prescriptions were generic (98%). Amgen Inc. reported $32.37 in payments in 2024, mostly food and beverage. Lists Memorial Regional Hospital as a hospital affiliation.
Overview
| NPI | 1407505779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 22, 2022 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9115460 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 25 across 10 procedure codes |
| Paid by Medicare | $1,692 |
Part D prescriptions in 2024
| Prescriptions (claims) | 87 · 87 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $1,166 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- South Broward Hospital DistrictHollywood, FL · 674 clinicians
Hospital affiliation
- Memorial Regional HospitalHollywood, FL
Industry payments (Open Payments)
- 2024$32.37 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $32.37 | 2 |
What the 2024 payments were for
- Food and Beverage$32.37 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 130 physician assistants in Hollywood · All physician assistants in Florida