Josiah Jackson Dick, PA
NPI 1699366740ActiveIndividual· Physician Assistant· Springfield, OR
Physician Assistant (PA) with Icco LLC, practicing in Springfield, Oregon. 135 Medicare patients in 2024, $11,023 paid; nearly all of their 265 Part D prescriptions were generic (92%). Lists Samaritan Albany General Hospital as a hospital affiliation.
Overview
| NPI | 1699366740 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Feb 1, 2021 |
| Last updated in NPPES | Apr 21, 2023 |
| Certified by provider | Apr 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA209411 | OR |
| 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 - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 135 |
|---|---|
| Services billed | 151 across 15 procedure codes |
| Paid by Medicare | $11,023 |
Part D prescriptions in 2024
| Prescriptions (claims) | 265 · 266 30-day fills |
|---|---|
| Patients | 189 |
| Total drug cost | $5,508 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliation
- Samaritan Albany General HospitalAlbany, OR
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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