Nicole Kaczor
NPI 1528674934ActiveIndividual· Physician Assistant· Lebanon, NH
Physician Assistant with St Josephs Medical PC, practicing in Lebanon, New Hampshire. In 2024 Medicare paid $5,737 for 30 patients, and Part D covered 101 of their prescriptions, 87% of them generic. Abiomed was the largest of 4 companies reporting payments in 2025, $420.87 in all, mostly food and beverage. Lists St Joseph's Hospital Health Center as a hospital affiliation.
Overview
| NPI | 1528674934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2020 |
| Last updated in NPPES | Jul 29, 2022 |
| Certified by provider | Jul 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | EL09804 | NH |
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 (NH); Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 57 across 21 procedure codes |
| Paid by Medicare | $5,737 |
Part D prescriptions in 2024
| Prescriptions (claims) | 101 · 103 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $2,669 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Josephs Medical PCSyracuse, NY · 382 clinicians
Hospital affiliation
- St Joseph's Hospital Health CenterSyracuse, NY
Industry payments (Open Payments)
- 2025$420.87 · 19 payments from 4 companies
- 2024$165.13 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $293.28 | 12 |
| Edwards Lifesciences Corporation | $92.09 | 5 |
| Solventum Corporation | $21.73 | 1 |
| Kestra Medical Technology Services, Inc. | $13.77 | 1 |
What the 2025 payments were for
- Food and Beverage$420.87 · 19 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 171 physician assistants in Lebanon · All physician assistants in New Hampshire