Chad T. Jackson, PA-C
NPI 1467773481ActiveIndividual· Physician Assistant, Medical· Coudersport, PA
Physician Assistant, Medical (PA-C) with Phoenix Rehabilitation and Health Services Inc, practicing in Coudersport, Pennsylvania. 312 Medicare patients in 2024, $68,960 paid; nearly all of their 1,039 Part D prescriptions were generic (99%). Lists Olean General Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1467773481 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 14, 2010 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Apr 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | MA054372 | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 312 |
|---|---|
| Services billed | 6,338 across 29 procedure codes |
| Paid by Medicare | $68,960 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,039 · 1,164 30-day fills |
|---|---|
| Patients | 311 |
| Total drug cost | $9,168 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
Hospital affiliations
- Olean General HospitalOlean, NY
- Upmc ColeCoudersport, PA
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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