Kelsey Marie Pellicone, PA-C
NPI 1760923353ActiveIndividual· Physician Assistant, Surgical· Cortlandt Manor, NY
Physician Assistant, Surgical (PA-C) with State of New York Comptrollers Office, practicing in Cortlandt Manor, New York. Their prescriptions cost Medicare Part D more than their services did: $19,781 for 400 claims, against $4,154 paid for services in 2024. Lists Good Samaritan Hospital of Suffern and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1760923353 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 15, 2017 |
| Last updated in NPPES | Oct 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 020695 | 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 | 63 |
|---|---|
| Services billed | 72 across 5 procedure codes |
| Paid by Medicare | $4,154 |
Part D prescriptions in 2024
| Prescriptions (claims) | 400 · 428 30-day fills |
|---|---|
| Patients | 73 |
| Total drug cost | $19,781 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- State of New York Comptrollers OfficeWest Haverstraw, NY · 170 clinicians
Hospital affiliations
- Good Samaritan Hospital of SuffernSuffern, NY
- Helen Hayes HospitalWest Haverstraw, NY
- Nyack HospitalNyack, NY
- Westchester Medical CenterValhalla, 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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