Nicholas A. Smith, PA
Physician Assistant (PA) with Pine Point Medical PLLC, practicing in Ithaca, New York. In 2024 Medicare paid $26,021 for 189 patients, and Part D covered 128 of their prescriptions, 89% of them generic. Gilead Sciences, Inc. was the largest of 5 companies reporting payments in 2025, $156.78 in all, mostly food and beverage. Lists Cayuga Medical Center at Ithaca and 1 other hospital as hospital affiliations. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1851069082 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 2, 2021 |
| Last updated in NPPES | Sep 2, 2021 |
| Certified by provider | Sep 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in New York, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Nicholas Ray Smith · Nurse/Nurses Aide | 1128b4 | May 19, 2005 | Webster, NY |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| 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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 189 |
|---|---|
| Services billed | 429 across 14 procedure codes |
| Paid by Medicare | $26,021 |
Part D prescriptions in 2024
| Prescriptions (claims) | 128 · 131 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $7,822 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Pine Point Medical PLLCLansing, NY · 5 clinicians
Hospital affiliations
- Cayuga Medical Center at IthacaIthaca, NY
- Guthrie Cortland Regional Medical CenterCortland, NY
Other facilities
- Vns Ithaca Tompkins Co ChhaHome health agency · Ithaca, NY
Industry payments (Open Payments)
- 2025$156.78 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $51.81 | 2 |
| Viiv Healthcare Company | $32.11 | 1 |
| Lilly USA, LLC | $30.46 | 2 |
| Sun Pharmaceutical Industries Inc. | $24.54 | 1 |
| Merck Sharp & Dohme LLC | $17.86 | 1 |
What the 2025 payments were for
- Food and Beverage$156.78 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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