Doctor profile · Federal record
Dr. Stephen Jackowski, RPA
Medical Physician Assistant (CMS: Physician Assistant) · Fayetteville, NY
- NPI 1215990536
- Accepts Medicare
- 34 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4103 Medical Center Dr
Fayetteville, NY 130666600
(315) 637-7800
fax (315) 637-7808
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- November 15, 2011
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- New York #004417
- Medicaid
- NY #02144989
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215990536. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $29.40 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
95
Patients
62
Total drug cost
$729
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 22 | 21 | $320 |
| Cephalexin | Generic | 17 | 15 | $106 |
| Azithromycin | Generic | 16 | 15 | $109 |
| Prednisone | Generic | 15 | 0 | $20 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 0 | $99 |
| Amoxicillin | Generic | 12 | 11 | $74 |
Frequently asked questions
What is Dr. Stephen Jackowski's medical specialty?
Dr. Stephen Jackowski practices Medical Physician Assistant in Fayetteville, NY.
Where does Dr. Stephen Jackowski practice?
Dr. Stephen Jackowski practices at 4103 Medical Center Dr, Fayetteville, NY 130666600. Office phone: 3156377800.
What is Dr. Stephen Jackowski's NPI?
Dr. Stephen Jackowski's National Provider Identifier (NPI) is 1215990536, issued by NPPES.
Does Dr. Stephen Jackowski accept Medicare assignment?
Yes. Dr. Stephen Jackowski accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.