MR. BRIAN D AMUNDSON (PA-C) – Surgical Physician Assistant, NPI 1275574469

MR. BRIAN D AMUNDSON (PA-C) is a healthcare provider. based in Hinsdale, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085002379 (IL). The NPI Number for MR. BRIAN D AMUNDSON (PA-C) is 1275574469

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN D AMUNDSON (PA-C)
NPI
1275574469
Phone
(630) 323-6116
Address
550 W OGDEN AVE
Enumeration Date
9 June 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
2003 (23 years ago)
PAC ID
0345143087
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050315000855
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
bamundson105184@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for MR. BRIAN D AMUNDSON (PA-C)

  • 550, West Ogden Avenue, Hinsdale, DuPage County, Illinois, 60521, United States

    HINSDALE, IL 605213186

    Phone: (630) 323-6116

    Fax: (630) 323-6169

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (922 days ago).

Enrollment records

1

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050315000855IPhysician AssistantIL2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4233$0
99212Established patient office or other outpatient visit, 10-19 minutes3426$0
View full utilization report →

Insurance plans in this area (ZIP 60521)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779488903View full group profile

Reviews

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Frequently asked questions

Does MR. BRIAN D AMUNDSON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. BRIAN D AMUNDSON (PA-C) uses 1275574469.
Can I rely on MR. BRIAN D AMUNDSON (PA-C) being an active provider?
As of the registry snapshot, MR. BRIAN D AMUNDSON (PA-C) is marked active.
What is MR. BRIAN D AMUNDSON (PA-C)'s specialty?
The listing groups MR. BRIAN D AMUNDSON (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MR. BRIAN D AMUNDSON (PA-C) serve?
MR. BRIAN D AMUNDSON (PA-C)'s listing highlights Hinsdale, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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