Meet Our Physician Assistants

Physician Assistants, or P.A.s, are state licensed/federally certified health care professionals who practice medicine with the supervision of a licensed physician.

At First State Orthopaedics, our P.A.s work as team members in a close and dynamic association with the orthopaedic surgeons.  This team approach allows FSO to deliver the highest quality care available.  You will find our P.A.s in many settings with our surgeons:  evaluating patients in the office, emergency room or at the hospital.  They can also be seen on the sidelines of many area sporting events where they serve as the onsite medical professional to evaluate on-field injuries and make the return to play decisions.  FSO P.A.s also provide our local athletes with pre-participation physicals in preparation for upcoming seasons.

Our P.A.s work as surgical assistants in the operating room to allow the safest and most efficient completion of the simplest procedure to the most complex procedure.

Post operatively the P.A.s will manage your recovery in the hospital and beyond.  This includes addressing your concerns, questions and prescription needs throughout your return to health.  All of these services are an extension of your doctor’s care and direction. 

Together, our P.A./M.D. teams  make up the region’s most experienced orthopaedic clinic to “take care of Delaware”.

List of Physician Assistants

David Bachkosky
Norman Belair
Shelly Epstein
Debbie Hughes
Rick Lohkamp
John Meccico
Todd Miller
Bonnie O'Connor
Michelle Smith

All of our Physician Assistants are members of the American Academy of Physician Assistants.


Michelle Smith Bonnie O'Connor Todd Miller David Bachkosky Deborah Hughes Richard Lohkamp Shelly Epstein John Meccico Norm Belair