Doctor profile · Federal record
Dr. NICOLE MONGEON, PA
Physician Assistant · Student in an Organized Health Care Education/Training Program · SYRACUSE, NY
- NPI 1003444761
- Accepts Medicare
- MIPS 83.9 / 100 · 2023
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
750 EAST ADAMS ST
SYRACUSE, NY 13210
(315) 464-4363
fax (315) 464-8690 - Mailing address
-
251 SALINA MEADOWS PKWY, STE 100
SYRACUSE, NY 132124516
Credentials & registration
- NPI registered
- March 2020 — 6 yrs on file
- Profile last updated
- December 10, 2020
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #025854
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003444761. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
87
Distinct HCPCS
2
Medicare allowed
$10,667
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99284 |
Emergency department visit with moderate level of medical decision making | 45 | 43 | $101 | |
99285 |
Emergency department visit with high level of medical decision making | 42 | 42 | $146 |
In context: peer comparison
Among 79 peers in this city , average services per provider: 91. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$532
Transactions
19
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Gilead Sciences, Inc. | 5 | $173.51 | |
| Neurocrine Biosciences, Inc. | 1 | $118.51 | |
| Alkermes, Inc. | 3 | $64.13 | |
| Otsuka America Pharmaceutical, Inc. | 3 | $52.21 | |
| Indivior Inc. | 2 | $43.60 | |
| Teva Pharmaceuticals USA, Inc. | 2 | $29.37 | |
| Lundbeck LLC | 1 | $21.16 | |
| Orexo US, Inc. | 1 | $15.96 | |
| Braeburn Inc. | 1 | $13.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
26
Patients
26
Total drug cost
$124
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 13 | $90 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 13 | 13 | $34 |