JIMMY CHAGOYA – Physician Assistant, NPI 1417639337
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JIMMY CHAGOYA
900 RAND RD STE 300
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Fax: (847) 929-1154
Type: Mailing
720 FLORSHEIM DR
LIBERTYVILLE, IL 600483757
Phone: (847) 247-4000
Fax: (847) 234-2090
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,474.
Total Amount is formed as General ($1,474) + Research ($0) + Ownership ($0) = $1,474.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,111).
Total Amount
$1,474
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,111 |
| DePuy Synthes Sales Inc. | $245 |
| Davol Inc. | $36 |
| Solventum Corporation | $27 |
| Heron Therapeutics, Inc. | $22 |
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: 2023-09-07
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 |
|---|---|---|---|---|
| I20230907003711 | 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 60016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Pain Management | IL | |
| Anesthesiology, Pain Management | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Physician Assistant | IL | |
| Anesthesiology, Interventional Pain Management, Pain Management | IL | |
| - | IL |
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