Victor Jackson, PA-C
NPI 1568644185ActiveIndividual· Physician Assistant· Coudersport, PA
Physician Assistant (PA-C) in Coudersport, Pennsylvania, licensed in PA, with an NPI issued in December 2007. Part D covered 379 prescriptions written in 2024, 85% of them generic. Philips North America LLC reported $17.95 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1568644185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 5, 2007 |
| Last updated in NPPES | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA052972 | 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) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 379 · 385 30-day fills |
|---|---|
| Patients | 146 |
| Total drug cost | $28,864 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2024$17.95 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Philips North America LLC | $17.95 | 1 |
What the 2024 payments were for
- Food and Beverage$17.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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