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Odalys Vieda

Physician Assistant β€’ Scranton, PA

Active NPI 1750005575 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1800 Mulberry St
Scranton, PA 185102369

Call 5707038231 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1800 Mulberry St

Scranton, PA 185102369

Telephone 5707038231
Fax 5707038250
Organization at the Same NPPES Address or Phone
Community Medical Center Facility NPI 1366444507

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Medical Service Association Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

30-day fills

314 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

$1,307 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $121.84 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Odalys Vieda 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Odalys Vieda 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Scranton and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Scranton, PA (2024, 90 clinicians with data). Median for this group: 161. Middle half: 61 to 413.

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: 235. Middle half: 69 to 862.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Scranton, PA (2024, 90 clinicians with data). Median for this group: $1,719. Middle half: $379 to $23,424.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: $3,681. Middle half: $519 to $94,109.

156 active clinicians are listed under Physician Assistant with a practice address in Scranton, PA (8,021 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Scranton

14.1% of these 156 clinicians have the CMS telehealth indicator.

69.2% of these 156 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $121.84.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
ANDEXXA General $121.84

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 37 2,380 $281.16 21
Omeprazole Omeprazole 31 2,000 $230.91 14
Lisinopril Lisinopril 20 1,740 $97.09 17
Losartan Potassium Losartan Potassium 17 1,309 $156.75 13
Albuterol Sulfate Hfa Albuterol Sulfate 17 728 $483.58 β€”
Metformin Hcl Metformin Hcl 16 1,130 $57.78 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: 2026-07-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES PA MA067794

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
118713600 (FL)
Other Identifier Bcbs
8A0WX (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20221121002852

Enrollment State Jurisdiction

FL

PECOS Control ID

4688042773

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Medical Service Association Inc

4202 E Fowler Ave, Tampa, FL 336206750

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Brittany Burke , PA-C

Physician Assistant

NPI 1760744957

Physician Assistant (Certified)

Dr. Glen Digwood , DO

Internal Medicine - Hospice and Palliative Medicine

NPI 1043451354

Doctor of Osteopathic Medicine (D.O.)

Dr. Shaeesta Khan , MD

Internal Medicine - Critical Care Medicine

NPI 1366882516

Doctor of Medicine (M.D.)

Daniel Kotok

Internal Medicine - Pulmonary Disease

NPI 1427579515
Jordyn Noullet , CRNP

Nurse Practitioner

NPI 1013636265

Certified Registered Nurse Practitioner

Dr. Sukrut Pagad , MD

Internal Medicine - Critical Care Medicine

NPI 1790365252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location July 10, 2026

Registered at 1800 MULBERRY ST, SCRANTON, PA 185102369 (Tel: 5707038231)

πŸ“
Updated Business Mailing Address July 10, 2026

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 5707038231)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2026

Physician Assistant (license number reported to NPPES: PA MA067794)

πŸ“
Updated Practice Location June 11, 2025

Registered at 2 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138218038)

πŸ“
Updated Practice Location May 29, 2025

Registered at 12902 USF MAGNOLIA DR, TAMPA, FL 336129416 (Tel: 8137457365)

πŸ“
Updated Business Mailing Address May 29, 2025

Registered at PO BOX 198441, ATLANTA, GA 303848441 (Tel: 8137457365)

πŸ“
Updated Business Mailing Address January 03, 2024

Registered at 8733 ROOKS PARK CIR APT 258, TAMPA, FL 336196686 (Tel: 5614527166)

πŸ“
Updated Practice Location August 15, 2023

Registered at 2 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138218038)

πŸ“
Updated Practice Location March 27, 2023

Registered at 7599 PARK BLVD N STE 300, PINELLAS PARK, FL 337812904 (Tel: 7279992076)

πŸ“
Updated Business Mailing Address March 27, 2023

Registered at 10736 HIDDEN WILLOW AVE APT 203, RIVERVIEW, FL 335695837 (Tel: 5614527166)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2023

Physician Assistant (license number reported to NPPES: FL PA9116522)

βœ…
NPI Profile Active October 04, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2022

Registered at 1625 N CARPENTER AVE, BARTOW, FL 338303106 (Tel: 8633541900)

πŸ“
Business Mailing Address (Initial Record) October 04, 2022

Registered at 10110 HAWTHORNE PLACE DR APT 104, RIVERVIEW, FL 335783087 (Tel: 5614527166)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2022

Recorded as ODALYS VIEDA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2022

Obstetrics & Gynecology (license number reported to NPPES: FL PA9116522)

🟒
Initial NPI Registration & Enumeration September 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750005575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2022
Last Update: July 10, 2026
Sole Proprietor: No

Other Physician Assistants in Scranton

All Physician Assistants in Scranton

Mailing Address

100 N Academy Ave

Danville, PA 178224903

Phone: 5707038231

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.