Scott D. Petersen, PA-C
NPI 1689640948ActiveIndividual· Physician Assistant· Avon, OH
Physician Assistant (PA-C) in Avon, Ohio, trained at George Washington University School of Medicine (class of 1994). 102 Medicare patients in 2024, $11,263 paid; nearly all of their 118 Part D prescriptions were generic (96%).
Overview
| NPI | 1689640948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 27, 2006 |
| Last updated in NPPES | Nov 17, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.002138 | OH |
| Physician Assistant | 363A00000X | 85000637 | IL |
| Physician Assistant | 363A00000X | 0010-02841 | NC |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 213 across 13 procedure codes |
| Paid by Medicare | $11,263 |
Part D prescriptions in 2024
| Prescriptions (claims) | 118 · 118 30-day fills |
|---|---|
| Patients | 68 |
| Total drug cost | $1,140 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | George Washington University School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Physician Assistant |
Medical group
- Cleveland Clinic Avon HospitalAvon, OH · 19 clinicians
Hospital affiliation
- Cleveland Clinic Avon HospitalAvon, OH
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 34 physician assistants in Avon · All physician assistants in Ohio