AMY J STITES (PA-C) – Physician Assistant, NPI 1043676109
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for AMY J STITES (PA-C)
1302 FRANKLIN AVE
SUITE 4800
NORMAL, IL 617613551
Phone: (309) 454-5900
Fax: (309) 454-2820
Type: Mailing
1228 TOWANDA AVE STE 1
BLOOMINGTON, IL 617013469
Phone: (309) 454-5900
Fax: (309) 454-2820
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 272 Open Payments records for all available years, with a total value of $4,697.
Total Amount is formed as General ($4,697) + Research ($0) + Ownership ($0) = $4,697.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,832).
Total Amount
$4,697
General + Research + Ownership
Payments
272
Total payment records
General Amount
$4,697
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,832 |
| Janssen Biotech, Inc. | $634 |
| AIMMUNE THERAPEUTICS, INC. | $330 |
| Celgene Corporation | $272 |
| Takeda Pharmaceuticals U.S.A., Inc. | $241 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160211000319 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, 1 mg | 7,203 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 140 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 62 | 62 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 28 | 12 | $0 |
Insurance plans in this area (ZIP 61761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| P A T H O L O G Y | WI | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| - | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | FL |
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