Mia R. Dericco
Medical Physician Assistant · Bay Shore, NY
Mia R. 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 R. 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
- Record last updated
- Aug 2, 2023
- Medicare enrollment
- Enrolled (PECOS I20231111000108); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 3,670 in New York → Look up another NPI →
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 R. 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 1,148 among the 23,801 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: food and beverage; the largest payer was Medtronic, Inc. The 16,165 providers of this specialty with any payment received $1,055.00 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.
Bills Medicare through one group practice
- North Shore-Lij Medical PCBay Shore, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mia R. Dericco among 3,670 medical physician assistant records in New York
Mia R. Dericco is one of 3,670 medical physician assistant records with a practice address in New York. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 89% of them.
- NPI issued2023 · 89% of these records are older, 7% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 49% of these records are
- Graduated2023 · median 2014 among the 1,802 with a school on file
- Record last updated2023 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
21 medical physician assistant records list a practice address in Bay Shore
They are 21 of the 1,931 NPPES records with a practice address in Bay Shore, and 3,670 medical physician assistant records in New York.
All 3,670 in New York → Every provider in Bay Shore → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Iram Ahsanuddin, RPA-CBay Shore, NY 117061972734812
- Austin Borden, PABay Shore, NY 117061427694389
- Shivannah Chiatar, RPA-C, M.S.Bay Shore, NY 117061275827115
- Alyssa Coneys, PA-CBay Shore, NY 117061548779853
- Alyssa De Simone, PA-CBay Shore, NY 117061740700541
- Mohammad Esmaeilzadeh, PABay Shore, NY 117061770931982
- William Gray, PABay Shore, NY 117061649395229
- Jacqueline Lichtenstein, PA-CBay Shore, NY 117061679897060
Common questions
What is Mia R. Dericco's NPI number?
Mia R. 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 R. 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 R. 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 R. Dericco prescribe under Medicare Part D?
In 2024, Mia R. Dericco had 251 Medicare Part D claims for 103 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
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.