Alyssa G. Bovalino, PA-C
NPI 1417406398ActiveIndividual· Physician Assistant· Ithaca, NY
Physician Assistant (PA-C) with Physicians Immediate Care North Chicago LLC, practicing in Ithaca, New York. 49 Medicare patients in 2024, $2,665 paid; nearly all of their 155 Part D prescriptions were generic (91%).
Overview
| NPI | 1417406398 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 3, 2016 |
| Last updated in NPPES | Nov 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 020196 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 70 across 17 procedure codes |
| Paid by Medicare | $2,665 |
Part D prescriptions in 2024
| Prescriptions (claims) | 155 · 159 30-day fills |
|---|---|
| Patients | 112 |
| Total drug cost | $1,898 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Physicians Immediate Care North Chicago LLCAurora, IL · 257 clinicians
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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