John William McDonnell Jr., PA-C
NPI 1669081865ActiveIndividual· Physician Assistant, Surgical· Setauket, NY
Physician Assistant, Surgical (PA-C) with North Shore-Lij Medical PC and 1 other group, practicing in Setauket, New York. Medicare paid $4,077 for services to 59 patients in 2024. My01 Inc. reported $38.28 in payments in 2024, mostly food and beverage. Lists Ns/Lij Hs Southside Hospital as a hospital affiliation.
Overview
| NPI | 1669081865 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 24, 2020 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 025301 | NY |
| Physician Assistant, Medical | 363AM0700X | 025301 | NY |
| Physician Assistant | 363A00000X | 025301 | 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 | 59 |
|---|---|
| Services billed | 91 across 10 procedure codes |
| Paid by Medicare | $4,077 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
- Orthopedic Assoc of Long Island Physicians and Medical Group PLLCEast Setauket, NY · 32 clinicians
Hospital affiliation
- Ns/Lij Hs Southside HospitalBay Shore, NY
Industry payments (Open Payments)
- 2024$38.28 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| My01 Inc. | $38.28 | 1 |
What the 2024 payments were for
- Food and Beverage$38.28 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Setauket
- 1427082387
- 1144672288