Jackson Fraser, PA
NPI 1841540721ActiveIndividual· Physician Assistant· Agoura Hills, CA
Physician Assistant (PA) in Agoura Hills, California, trained at University of California, Davis School of Medicine (class of 2012). 295 Medicare patients in 2024, $28,527 paid; nearly all of their 381 Part D prescriptions were generic (90%).
Overview
| NPI | 1841540721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 18, 2012 |
| Last updated in NPPES | Jun 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA22498 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 295 |
|---|---|
| Services billed | 572 across 47 procedure codes |
| Paid by Medicare | $28,527 |
Part D prescriptions in 2024
| Prescriptions (claims) | 381 · 388 30-day fills |
|---|---|
| Patients | 280 |
| Total drug cost | $5,610 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of California, Davis School of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Physician Assistant |
Medical group
- Hmts IncIrvine, CA · 118 clinicians
Hospital affiliation
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
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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