Marc Nicoloff, PA-C
NPI 1619115458ActiveIndividual· Physician Assistant· Maplewood, MN
Physician Assistant (PA-C) in Maplewood, Minnesota, with an NPI issued in February 2009. Their prescriptions cost Medicare Part D more than their services did: $224,927 for 67 claims, against $28,971 paid for services in 2024.
Overview
| NPI | 1619115458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 2, 2009 |
| Last updated in NPPES | Mar 11, 2021 |
| Certified by provider | Mar 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 354 |
|---|---|
| Services billed | 626 across 11 procedure codes |
| Paid by Medicare | $28,971 |
Part D prescriptions in 2024
| Prescriptions (claims) | 67 · 91 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $224,927 |
| Generic share | 76% of claims |
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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All 60 physician assistants in Maplewood · All physician assistants in Minnesota