Idan Aviv Waksman, PA-C
NPI 1457991903ActiveIndividual· Physician Assistant· Philadelphia, PA
Physician Assistant (PA-C) with University of Penn - Medical Group and 1 other group, practicing in Philadelphia, Pennsylvania. 64 Medicare patients in 2024, $6,131 paid; all of their 58 Part D prescriptions were generic. Lists Penn Presbyterian Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1457991903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 13, 2020 |
| Last updated in NPPES | Apr 17, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA061390 | PA |
| Physician Assistant | 363A00000X | 25MP00556700 | NJ |
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 (NJ); Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 83 across 22 procedure codes |
| Paid by Medicare | $6,131 |
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 58 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $594.79 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- University of Penn - Medical GroupPhiladelphia, PA · 3,505 clinicians
- Haddon Emergency Physicians LLCCamden, NJ · 21 clinicians
Hospital affiliations
- Penn Presbyterian Medical CenterPhiladelphia, PA
- Pennsylvania HospitalPhiladelphia, PA
- Virtua Our Lady of Lourdes HospitalCamden, NJ
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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