Mia Dericco
Medical Physician Assistant · Bay Shore, NY
Mia Dericco is a medical physician assistant with a practice address in Bay Shore, New York, and NPI 1194407999, issued on Aug 2, 2023. Check the license (New York 030197, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mia Dericco
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 030197 NY
Self-reported in NPPES; status is on the state search - Practice location
- 270 E Main St, Bay Shore, NY 11706
- Phone
- (631) 591-7470
- Enumerated
- Aug 2, 2023
- Entity
- Type 1 · individual
Also registered at 270 E Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Mia Dericco 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 030197Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
78% fewer Medicare Part D claims than the average medical physician assistant in 2024
251 Medicare Part D claims for 103 beneficiaries, against an average of 1,139 among the 25,090 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.
Most prescribed
- Clopidogrel41 claims
- Gabapentin39 claims
- Atorvastatin Calcium19 claims
- Eliquis17 claims
- Donepezil Hcl15 claims
- Divalproex Sodium14 claims
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.
Industry payments in 2024: $27.52
1 payment, mostly food and beverage; the largest payer was Medtronic, Inc.. The 16,940 providers of this specialty with any payment received $1,050.90 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital or facility affiliation
- North Shore-Lij Medical PCBay Shore, NY
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
21 medical physician assistant records list a Bay Shore practice address
They are 21 of the 1,931 NPPES records with a Bay Shore practice address, and 3,818 medical physician assistant records in New York.
All 21 in Bay Shore → All 3,818 in New York → Every provider in Bay Shore →
Other medical physician assistant records in New York
- Yesid Abad, PA CNew York, NY1205951399
- Vincent Abanilla, PA-CBrooklyn, NY1366201808
- Stella Abayeva, P.A.Forest Hills, NY1124326467
- Amina Abdela, PA-CLatham, NY1891452496
- Hanan Abdelrahman, PA-CBrooklyn, NY1316348204
- Marwa AbdoAstoria, NY1467001081
- Avinell Abdool, PA-CBrooklyn, NY1558848572
- Bashir Abdul-Wadud, PA-CAlbany, NY1871510883
- Devon AbeleMassapequa Park, NY1255817672
- Emily Abercrombie, P.A. - CNew York, NY1043601677
Common questions
What is Mia Dericco's NPI number?
Mia Dericco's National Provider Identifier (NPI) is 1194407999, issued on Aug 2, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Mia Dericco located?
The NPPES record lists a practice address at 270 E Main St, Bay Shore, NY, 11706. Phone: (631) 591-7470. Providers update this record themselves, so call before visiting.
How can I verify Mia Dericco's license?
NPPES lists New York license number 030197, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Mia Dericco prescribe under Medicare Part D?
In 2024, Mia Dericco had 251 Medicare Part D claims for 103 beneficiaries; the average among medical physician assistant prescribers was 1,139. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.