Nathaniel James Brochu, P.A.
NPI 1861585309ActiveIndividual· Physician Assistant· Rochester, NY
Physician Assistant (P.A.) with Brain and Spine Medical Services PLLC and 1 other group, practicing in Rochester, New York. Their prescriptions cost Medicare Part D more than their services did: $903,915 for 5,700 claims, against $38,463 paid for services in 2024. Collegium Pharmaceutical, Inc. was the largest of 17 companies reporting payments in 2025, $1,357 in all, mostly food and beverage.
Overview
| NPI | 1861585309 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Oct 1, 2026 |
| Certified by provider | Oct 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 | 141 |
|---|---|
| Services billed | 675 across 20 procedure codes |
| Paid by Medicare | $38,463 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,700 · 5,831 30-day fills |
|---|---|
| Patients | 497 |
| Total drug cost | $903,915 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Brain and Spine Medical Services PLLCWilliamsville, NY · 56 clinicians
- Rochester Brain and Spine Group PLLCRochester, NY · 6 clinicians
Industry payments (Open Payments)
- 2025$1,357 · 63 payments from 17 companies
- 2024$1,373 · 69 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Collegium Pharmaceutical, Inc. | $292.78 | 25 |
| Saluda Medical Americas, Inc. | $248.12 | 7 |
| Vertex Pharmaceuticals Incorporated | $195.65 | 5 |
| Protega Pharmaceutials Inc | $169.76 | 1 |
| Averitas Pharma Inc. | $97.43 | 4 |
What the 2025 payments were for
- Food and Beverage$1,357 · 63 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 659 physician assistants in Rochester · All physician assistants in New York