JEREMY GOOD (PA) – Physician Assistant, NPI 1104196294
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JEREMY GOOD (PA)
PO BOX 19639
SPRINGFIELD, IL 627949639
Phone: (217) 545-3787
Type: Mailing
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203981
Phone: (217) 366-8107
Type: Mailing
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 618223743
Phone: (217) 366-1240
Type: Location
302 W HAY ST
SUITE 200
DECATUR, IL 625264167
Phone: (217) 877-8925
Fax: (217) 877-0020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $2,060.
Total Amount is formed as General ($2,060) + Research ($0) + Ownership ($0) = $2,060.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($570).
Total Amount
$2,060
General + Research + Ownership
Payments
98
Total payment records
General Amount
$2,060
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $570 |
| PFIZER INC. | $331 |
| Astellas Pharma US Inc | $290 |
| Sumitomo Pharma America, Inc. | $191 |
| Endo Pharmaceuticals Inc. | $107 |
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: 2012-01-26
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 |
|---|---|---|---|---|
| I20120126000353 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 761 | 496 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 193 | 158 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 120 | 104 | $0 |
| 84153 | Psa (prostate specific antigen) measurement, total | 105 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 83 | $0 |
Insurance plans in this area (ZIP 62794)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 51798 | Ultrasound measurement of bladder capacity after voiding | 405 | 321 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL |
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