CASEY DOOLEY (PA-C) – Physician Assistant, NPI 1114549979
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for CASEY DOOLEY (PA-C)
2 SUNNYSIDE ACRES
EDINBURG, IL 625319407
Phone:
Type: Mailing
1450 N County Road 2050 E
Carthage, IL 623213551
Phone: (217) 357-2173
Type: Location
1471 Keokuk St
Hamilton, IL 623411135
Phone: (217) 847-3383
Type: Location
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 627047400
Phone:
Type: Mailing
3132 OLD JACKSONVILLE RD STE 200
SPRINGFIELD, IL 627047401
Phone: (217) 862-0800
Type: Location
110 E MARKET ST
COLCHESTER, IL 623261271
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-02-25 • Largest payer in this snapshot: PFIZER INC. ($14).
Total Amount
$27
General + Research + Ownership
Payments
2
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $14 |
| Kowa Pharmaceuticals America, Inc. | $13 |
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: 2021-10-15
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 |
|---|---|---|---|---|
| I20211015002096 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62531)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Family Practice, Geriatric Medicine | IL | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | IL | |
| Family Practice, Emergency Medicine | IL | |
| Family Practice | IL | |
| Mental Health Counselor | MO |
Reviews
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