Elliot S. Formal, PA-C
NPI 1649834656ActiveIndividual· Physician Assistant, Medical· Astoria, NY
Physician Assistant, Medical (PA-C) in Astoria, New York, licensed in NY, with an NPI issued in April 2019. 38 Medicare patients in 2024, $3,512 paid; nearly all of their 212 Part D prescriptions were generic (93%). Grifols USA, LLC reported $23.74 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1649834656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 24, 2019 |
| Last updated in NPPES | Apr 10, 2023 |
| Certified by provider | Apr 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 024373 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 45 across 8 procedure codes |
| Paid by Medicare | $3,512 |
Part D prescriptions in 2024
| Prescriptions (claims) | 212 · 222 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $2,920 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
- 2024$23.74 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Grifols USA, LLC | $23.74 | 1 |
What the 2024 payments were for
- Food and Beverage$23.74 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 39 physician assistants in Astoria · All physician assistants in New York