Alexander Michael Nackashi , PA-C
Physician Assistant β’ Gainesville, FL
1601 Sw Archer Rd
Gainesville, FL 326081135
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Alexander Nackashi is listed in NPPES under Physician Assistant.
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NPI assigned on October 8, 2012; this date does not establish years in practice.
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Published CMS data list 497 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Eliquis (Apixaban) β 103 prescription fills, including refills.
- Metoprolol Succinate β 75 prescription fills, including refills.
- Atorvastatin Calcium β 46 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table Β· Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Gainesville, FL (2024, 168 clinicians with data). Median for this group: 199. Middle half: 62 to 482.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 1,624 in 2020 to 497 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2020β2024.
Practice Location & Contact Primary Location
1601 Sw Archer Rd
Gainesville, FL 326081135
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
1,118 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$160,094 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Open Payments general payments, program year 2023
All general payments: $453.69 across 19 records.
By nature of payment
- Food and Beverage: $453.69 across 19 records.
Reporting-company totals (3 largest of 9)
- Bristol Myers Squibb Company: $168.14 across 6 records.
- Cook Medical LLC: $99.17 across 1 record.
- Amgen Inc.: $57.74 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alexander Nackashi has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alexander Nackashi as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gainesville and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Gainesville, FL (2024, 168 clinicians with data). Median for this group: 199. Middle half: 62 to 482.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Gainesville, FL (2024, 168 clinicians with data). Median for this group: $2,501. Middle half: $610 to $33,019.
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
435 active clinicians are listed under Physician Assistant with a practice address in Gainesville, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gainesville
6.2% of these 435 clinicians have the CMS telehealth indicator.
51% of these 435 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 69% from 1,624 in 2020 to 497 in 2024.
- 2020: 1,624
- 2021: 1,595
- 2022: 1,226
- 2023: 1,762
- 2024: 497
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30-day fills
30-day fills decreased 66% from 3,263 in 2020 to 1,118 in 2024.
- 2020: 3,263
- 2021: 3,573
- 2022: 2,704
- 2023: 4,027
- 2024: 1,118
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Part D drug cost
Part D drug cost decreased 50% from $321,708 in 2020 to $160,094 in 2024.
- 2020: $321,708
- 2021: $285,446
- 2022: $291,831
- 2023: $440,396
- 2024: $160,094
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $381.57 in 2021 to $453.69 in 2023.
- 2021: $381.57
- 2022: $334.09
- 2023: $453.69
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 β December 31, 2023): 19 records totaling $453.69.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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CAMZYOS | General | $126.08 |
| Cook Medical LLC |
Food and Beverage
Cash or cash equivalent
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ZILVER PTX | General | $99.17 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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Repatha | General | $24.59 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $18.16 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ELIQUIS | General | $18.08 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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Repatha | General | $17.91 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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Repatha | General | $15.24 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $15.00 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $14.82 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $14.73 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $14.30 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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ENTRESTO | General | $13.51 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $13.50 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ELIQUIS | General | $13.17 |
| Lexicon Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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Inpefa | General | $13.10 |
| LeMaitre Vascular, Inc. |
Food and Beverage
Cash or cash equivalent
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RESTOREFLOW | General | $11.52 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ELIQUIS | General | $4.58 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ELIQUIS | General | $3.16 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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CAMZYOS | General | $3.07 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Eliquis | Apixaban | 103 | 4,350 | $84,035.06 | 29 |
| Metoprolol Succinate | Metoprolol Succinate | 75 | 5,715 | $944.68 | 32 |
| Atorvastatin Calcium | Atorvastatin Calcium | 46 | 4,180 | $321.50 | 23 |
| Entresto | Sacubitril/Valsartan | 46 | 2,452 | $54,111.25 | 13 |
| Amlodipine Besylate | Amlodipine Besylate | 36 | 3,180 | $228.99 | 19 |
| Carvedilol | Carvedilol | 32 | 1,882 | $142.91 | 15 |
| Furosemide | Furosemide | 23 | 1,586 | $73.08 | 11 |
| Jardiance | Empagliflozin | 23 | 989 | $19,211.90 | β |
| Clopidogrel | Clopidogrel Bisulfate | 20 | 1,820 | $233.07 | β |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 17 | 1,540 | $321.73 | 13 |
| Valsartan | Valsartan | 16 | 1,140 | $188.39 | β |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | 1,050 | $91.85 | β |
| Lisinopril | Lisinopril | 15 | 1,350 | $78.39 | β |
| Losartan Potassium | Losartan Potassium | 15 | 1,290 | $83.46 | β |
| Spironolactone | Spironolactone | 15 | 976 | $27.87 | β |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-12-06NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20130517000056
FL
6901043686
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Otolaryngology
Doctor of Medicine (M.D.)
Family Medicine
Surgery
Doctor of Medicine (M.D.)
Social Worker - Clinical
Licensed Clinical Social Worker
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1601 SW ARCHER RD, GAINESVILLE, FL 326081135 (Tel: 3525486000)
Registered at 1601 S.W. ARCHER ROAD, GAINESVILLE, FL 326081197
NPI status registered as active in NPPES database
Registered at 4645 NW 8TH AVE, GAINESVILLE, FL 326054524 (Tel: 3523751212)
Registered at 4645 NW 8TH AVE, GAINESVILLE, FL 326054524 (Tel: 3523751212)
Recorded as ALEXANDER NACKASHI, PA-C
Physician Assistant (license number reported to NPPES: FL PA9106892)
NPI status registered as active in NPPES database
Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522657999)
Registered at PO BOX 918025, ORLANDO, FL 328918025
Recorded as ALEXANDER NACKASHI, PA-C
Physician Assistant (license number reported to NPPES: FL PA9106892)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Gainesville
- David Indarawis, PA-C
- Annie Li, PA-C
- Sydney Graybill, PA-C
- Elizabeth Henderson, PA-C
- Elizabeth Wilhem, PA-C
- Troy Arcand
Mailing Address
1601 S.w. Archer Road
Gainesville, FL 326081197