ROBERT JAMES PICKERAL JR. PAC
NPI 1205469186
Physician Assistant - Medical in Watertown, NY

Active since February 19, 2020PECOS EnrolledAccepts Medicare Assignment
53-59 PUBLIC SQ STE 301, WATERTOWN, NY 13601(315) 782-2141(315) 782-5123 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 3, 2020, Feb 19, 2020 (2 updates tracked since 2020).

About Robert James Pickeral Jr. Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JAMES PICKERAL JR. PAC (NPI 1205469186) is an individual medical provider in Watertown, New York, licensed in New York (024741) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205469186
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameROBERT JAMES PICKERAL JR.Credential: PAC
Location Address53-59 PUBLIC SQ STE 301Watertown, NY 13601-2674
Mailing Address53-59 Public Sq Ste 301Watertown, NY 13601-2674 · (315) 786-8700 · Fax (315) 782-5123
Fax(315) 782-5123
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 19, 2020
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
NPI 1205469186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 024741
53-59 PUBLIC SQ STE 301, Watertown, NY 13601

Other Identifiers 1

Other024741NY · New York State

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert James Pickeral Jr. Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698103786
PECOS Enrollment IDI20200324002276
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
254 services150 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
227 services151 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
203 services144 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
181 services161 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
124 services107 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
89 services84 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
53-59 PUBLIC SQ STE 301
WATERTOWN, NY 13601
Nurse Practitioner (Family)
53-59 PUBLIC SQ STE 301
WATERTOWN, NY 13601
Internal Medicine
53-59 PUBLIC SQ STE 301
WATERTOWN, NY 13601
Nurse Practitioner (Family)
53-59 PUBLIC SQ STE 301
WATERTOWN, NY 13601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Pickeral's NPI number?

The NPI number for Robert Pickeral is 1205469186. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Robert Pickeral located?

Robert Pickeral practices at 53-59 Public Sq Ste 301, Watertown, NY 13601. The listed phone number is (315) 782-2141.

What is Robert Pickeral's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Robert Pickeral enrolled in Medicare?

Yes. Robert Pickeral is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Robert Pickeral affiliated with any hospitals?

According to CMS data, Robert Pickeral is affiliated with Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Pickeral was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.