Wayne Jeffery Jackson, PA
NPI 1750387023ActiveIndividual· Physician Assistant, Medical· Potsdam, NY
Physician Assistant, Medical (PA) in Potsdam, New York, licensed in NY, with an NPI issued in June 2005. 196 Medicare patients in 2024, $19,573 paid; nearly all of their 256 Part D prescriptions were generic (93%).
Overview
| NPI | 1750387023 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 22, 2005 |
| Last updated in NPPES | Mar 31, 2021 |
| Certified by provider | Mar 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 004496 | 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 | 196 |
|---|---|
| Services billed | 220 across 13 procedure codes |
| Paid by Medicare | $19,573 |
Part D prescriptions in 2024
| Prescriptions (claims) | 256 · 259 30-day fills |
|---|---|
| Patients | 174 |
| Total drug cost | $5,115 |
| Generic share | 93% of claims |
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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