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Nicole Russo Cavignaro, PA-C

NPI 1508527748ActiveIndividual· Physician Assistant· St Augustine, FL

Physician Assistant (PA-C) with Bold City Dermatology LLC, practicing in St Augustine, Florida. Their prescriptions cost Medicare Part D more than their services did: $298,456 for 864 claims, against $17,226 paid for services in 2024. Janssen Biotech, Inc. was the largest of 10 companies reporting payments in 2025, $1,071 in all, mostly food and beverage.

Overview

NPI1508527748
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJan 9, 2022
Last updated in NPPESAug 12, 2024
Certified by providerAug 12, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA9117532FL

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)Enrolled Practitioner - Physician Assistant (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients131
Services billed550 across 21 procedure codes
Paid by Medicare$17,226

Part D prescriptions in 2024

Prescriptions (claims)864 · 911 30-day fills
Patients243
Total drug cost$298,456
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,071 · 70 payments from 10 companies
  • 2024$1,812 · 91 payments from 16 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$970.87 · 69 payments
  • Education$99.99 · 1 payment

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

Other Physician Assistant providers in St Augustine

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