MR. CARSON WILLIAM ANDREW (PA-C) – Physician Assistant, NPI 1396264339
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MR. CARSON WILLIAM ANDREW (PA-C)
900 N 2nd St Ste 200
Rochelle, IL 610681764
Phone: (815) 562-2181
Type: Location
Katherine Shaw Bethea Hospital, 403, East 1st Street, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 610213116
Phone: (815) 288-5534
Fax: (815) 285-5558
Type: Mailing
900 N 2ND ST
ROCHELLE, IL 610681764
Phone: (815) 562-2181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $227.
Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($58).
Total Amount
$227
General + Research + Ownership
Payments
12
Total payment records
General Amount
$227
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $58 |
| Amgen Inc. | $40 |
| Novo Nordisk Inc | $34 |
| Lilly USA, LLC | $28 |
| E.R. Squibb & Sons, L.L.C. | $24 |
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: 2017-11-02
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 |
|---|---|---|---|---|
| I20171102001690 | 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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 84 | 82 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 84 | 80 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 74 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Orthopedic Surgery | IL | |
| Qualified Audiologist | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL |
Reviews
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