Jacob Moore, PA-C
NPI 1851780928ActiveIndividual· Physician Assistant· New Brighton, MN
Physician Assistant (PA-C) with Nystrom and Associates Ltd, practicing in New Brighton, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $240,165 for 2,710 claims, against $22,490 paid for services in 2024. Vanda Pharmaceuticals Inc. was the largest of 5 companies reporting payments in 2025, $162.46 in all, mostly food and beverage.
Overview
| NPI | 1851780928 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 13, 2015 |
| Last updated in NPPES | Apr 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | MN |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 372 across 10 procedure codes |
| Paid by Medicare | $22,490 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,710 · 3,221 30-day fills |
|---|---|
| Patients | 114 |
| Total drug cost | $240,165 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
Industry payments (Open Payments)
- 2025$162.46 · 8 payments from 5 companies
- 2024$168.31 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vanda Pharmaceuticals Inc. | $51.17 | 3 |
| Teva Pharmaceuticals USA, Inc. | $49.47 | 2 |
| Immunitybio, Inc. | $32.27 | 1 |
| Lundbeck LLC | $15.48 | 1 |
| Collegium Pharmaceutical, Inc. | $14.07 | 1 |
What the 2025 payments were for
- Food and Beverage$162.46 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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