Garry M. Silvesti, PA-C, DC
NPI 1942248075ActiveIndividual· Physician Assistant· Linwood, NJ
Physician Assistant (PA-C, DC) with Premier Brain and Spine LLC, practicing in Linwood, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $521,812 for 5,418 claims, against $22,460 paid for services in 2024. Collegium Pharmaceutical, Inc. was the largest of 15 companies reporting payments in 2025, $1,308 in all, mostly food and beverage.
Overview
| NPI | 1942248075 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, DC |
| Sole proprietor | No |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00368800 | NJ |
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 (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 149 |
|---|---|
| Services billed | 378 across 14 procedure codes |
| Paid by Medicare | $22,460 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,418 · 5,721 30-day fills |
|---|---|
| Patients | 612 |
| Total drug cost | $521,812 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Premier Brain and Spine LLCEdison, NJ · 126 clinicians
Industry payments (Open Payments)
- 2025$1,308 · 99 payments from 15 companies
- 2024$903.58 · 62 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Collegium Pharmaceutical, Inc. | $459.68 | 28 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $300.57 | 42 |
| Scilex Pharmaceuticals Inc. | $115.50 | 7 |
| Abbvie Inc. | $79.40 | 5 |
| Vertex Pharmaceuticals Incorporated | $74.50 | 3 |
What the 2025 payments were for
- Food and Beverage$1,308 · 99 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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