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Jacob Leon Callison, PA

NPI 1487885877ActiveIndividual· Physician Assistant· Broken Arrow, OK

Opted out of Medicare from October 2016 to October 2028. Physician Assistant (PA) in Broken Arrow, Oklahoma, licensed in OK, with an NPI issued in August 2009. Part D covered 888 prescriptions written in 2024, 86% of them generic. Pfizer Inc. was the largest of 16 companies reporting payments in 2025, $1,072 in all, mostly food and beverage.

Overview

NPI1487885877
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedAug 3, 2009
Last updated in NPPESOct 8, 2024
Certified by providerOct 8, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1844OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Oct 1, 2016 – Oct 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)888 · 1,880 30-day fills
Patients84
Total drug cost$121,409
Generic share86% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$1,072 · 92 payments from 16 companies
  • 2024$1,484 · 121 payments from 21 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,072 · 92 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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