Kevin Hendrickson
NPI 1689074957ActiveIndividual· Emergency Medicine· Fort Drum, NY
Emergency Medicine in Fort Drum, New York, trained at Temple University School of Medicine (class of 2022). Part D covered 82 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1689074957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 24, 2014 |
| Last updated in NPPES | Jan 26, 2026 |
| Certified by provider | Jan 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 0101282168 | VA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
| Emergency Medicine | 207P00000X | 339422 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 82 · 86 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $1,336 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Temple University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Emergency Medicine |
Medical group
- Physicians Medical Associates New York PCSuffern, NY · 102 clinicians
Hospital affiliations
- Gouverneur HospitalGouverneur, NY
- St Joseph's Hospital Health CenterSyracuse, NY
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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