Justin G. Pedersen, PA-C
NPI 1689056939ActiveIndividual· Physician Assistant· Cooperstown, NY
Physician Assistant (PA-C) in Cooperstown, New York, trained at Albany Medical College of Union University (class of 2015). 294 Medicare patients in 2024, $30,756 paid; nearly all of their 231 Part D prescriptions were generic (96%). Stryker Corporation reported $123.16 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1689056939 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 23, 2015 |
| Last updated in NPPES | Aug 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 018681 | 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 | 294 |
|---|---|
| Services billed | 794 across 37 procedure codes |
| Paid by Medicare | $30,756 |
Part D prescriptions in 2024
| Prescriptions (claims) | 231 · 246 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $6,654 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Albany Medical College of Union University |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Mary Imogene Bassett HospitalSidney, NY · 763 clinicians
Hospital affiliations
- Aurelia Osborn Fox Memorial HospitalOneonta, NY
- Bassett HealthcareCooperstown, NY
Industry payments (Open Payments)
- 2024$123.16 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Stryker Corporation | $123.16 | 1 |
What the 2024 payments were for
- Food and Beverage$123.16 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 89 physician assistants in Cooperstown · All physician assistants in New York