Jacob Henry Ettinger, PA
Surgical Physician Assistant · Great Neck, NY
Jacob Henry Ettinger, PA is a surgical physician assistant with a practice address in Great Neck, New York, and NPI 1063441517, issued on Jun 30, 2006. Check the license (New York 009528, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Henry Ettinger
- Credential
- PA
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 009528 NY
Self-reported in NPPES; status is on the state search - Practice location
- 21 Canterbury RD, Great Neck, NY 11021
- Phone
- (516) 570-6015
- Enumerated
- Jun 30, 2006
- Record last updated
- Sep 11, 2025
- Medicare enrollment
- Enrolled (PECOS I20050404001101); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 2,152 in New York → Look up another NPI →
Verify Jacob Henry Ettinger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 009528Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average surgical physician assistant in 2024
25 Medicare Part D claims for 11 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- North Shore-Lij Medical PCManhasset, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Henry Ettinger among 2,152 surgical physician assistant records in New York
Jacob Henry Ettinger, PA is one of 2,152 surgical physician assistant records with a practice address in New York. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 79% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2003 · median 2012 among the 1,293 with a school on file
- Record last updated2025 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in New York
There are 2,152 surgical physician assistant records in New York.
All 2,152 in New York → Every provider in Great Neck → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Katherine Beam, PAGreat Neck, NY 110211407232390
- Rachel Dellaragione, PAGreat Neck, NY 110211053160952
- Heather Hurd, PAGreat Neck, NY 110211518193770
- Suzan Shifteh, PAGreat Neck, NY 110211295063246
- Sundeep Singh, PAGreat Neck, NY 110211750672556
- Michelle Stewart, PA-CGreat Neck, NY 110211003225194
- Eva Taczanowski Bersin, P.A.Great Neck, NY 110211164703872
- Nancy Tang, PAGreat Neck, NY 110201497394662
Common questions
What is Jacob Henry Ettinger, PA's NPI number?
Jacob Henry Ettinger, PA's National Provider Identifier (NPI) is 1063441517, issued on Jun 30, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Henry Ettinger, PA located?
The NPPES record lists a practice address at 21 Canterbury RD, Great Neck, NY, 11021. Phone: (516) 570-6015. Providers update this record themselves, so call before visiting.
How can I verify Jacob Henry Ettinger, PA's license?
NPPES lists New York license number 009528, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Jacob Henry Ettinger, PA prescribe under Medicare Part D?
In 2024, Jacob Henry Ettinger, PA had 25 Medicare Part D claims for 11 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
What is Jacob Henry Ettinger, PA's MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.