MCKENZIE R YOUNGBLOOD (PA-C) – Physician Assistant, NPI 1063010924
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MCKENZIE R YOUNGBLOOD (PA-C)
28653 WREN LN
JERSEYVILLE, IL 620526501
Phone: (618) 946-7067
Type: Mailing
4 MEMORIAL DR STE 130
ALTON, IL 620026704
Phone: (618) 463-7600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $802.
Total Amount is formed as General ($802) + Research ($0) + Ownership ($0) = $802.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Stryker Corporation ($161).
Total Amount
$802
General + Research + Ownership
Payments
22
Total payment records
General Amount
$802
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $161 |
| Elite Orthopedics, LLC | $154 |
| Pacira Pharmaceuticals Incorporated | $116 |
| Solventum Corporation | $74 |
| Heron Therapeutics, Inc. | $57 |
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: 2022-09-20
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 |
|---|---|---|---|---|
| I20220920000276 | 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 |
|---|---|---|---|---|
| J1040 | Injection, methylprednisolone acetate, 80 mg | 241 | 136 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 210 | 139 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 181 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 100 | $0 |
| 73564 | X-ray of knee, 4 or more views | 116 | 57 | $0 |
Insurance plans in this area (ZIP 62052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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