Marissa Jodi McClintock, PA-C
NPI 1861470338ActiveIndividual· Physician Assistant· Ithaca, NY
Physician Assistant (PA-C) with Sports Medicine North Orthopaedic Surgery, Inc., practicing in Ithaca, New York. 15 Medicare patients in 2024, $2,849 paid; nearly all of their 200 Part D prescriptions were generic (99%). Lists Anna Jaques Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1861470338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 5, 2006 |
| Last updated in NPPES | Oct 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 011434 | NY |
| Physician Assistant, Surgical | 363AS0400X | 1812 | MA |
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 (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 157 across 8 procedure codes |
| Paid by Medicare | $2,849 |
Part D prescriptions in 2024
| Prescriptions (claims) | 200 · 213 30-day fills |
|---|---|
| Patients | 144 |
| Total drug cost | $1,771 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sports Medicine North Orthopaedic Surgery, Inc.Peabody, MA · 87 clinicians
Hospital affiliations
- Anna Jaques HospitalNewburyport, MA
- Northeast Hospital CorporationBeverly, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Ithaca
- 1396335881
- 1568850162
- 1194425082
- 1104642131
- 1205496908
- 1265257323
- 1679501811
- 1417406398
- 1003524646
- 1144323049
- 1720785041
- 1417926692