Jason R. Pericak, MD
NPI 1689823411ActiveIndividual· Radiology, Diagnostic Radiology· Williamsville, NY
Radiology, Diagnostic Radiology (MD) in Williamsville, New York, trained at State University of New York at Buffalo School of Medicine (class of 2004). Medicare paid $285,907 for services to 3,089 patients in 2024. Astrazeneca Pharmaceuticals LP reported $124.99 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1689823411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 17, 2008 |
| Last updated in NPPES | Aug 21, 2023 |
| Certified by provider | Aug 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 256124 | NY |
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 - Diagnostic Radiology (NY); Practitioner - Diagnostic Radiology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,089 |
|---|---|
| Services billed | 21,285 across 152 procedure codes |
| Paid by Medicare | $285,907 |
Education and affiliations
| Medical school | State University of New York at Buffalo School of Medicine |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- General Physician PCAmherst, NY · 501 clinicians
- Kaleida HealthBuffalo, NY · 236 clinicians
- Olean Medical Practice PLLCOlean, NY · 51 clinicians
- Great Lakes Medical Imaging LLCWilliamsville, NY · 42 clinicians
- Western New York Radiology Associates LLCBuffalo, NY · 27 clinicians
- Bradford Radiology PCBradford, PA · 21 clinicians
Hospital affiliations
- Kaleida HealthBuffalo, NY
- Olean General HospitalOlean, NY
- Upmc ColeCoudersport, PA
Industry payments (Open Payments)
- 2025$124.99 · 1 payment from 1 company
- 2024$114.51 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $124.99 | 1 |
What the 2025 payments were for
- Food and Beverage$124.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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