CAMERON TROY JACKSON STENGEL (PA-C) – Physician Assistant, NPI 1538700851
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CAMERON TROY JACKSON STENGEL (PA-C)
3024, East Empire Street, Bloomington, McLean County, Illinois, 61704, United States
BLOOMINGTON, IL 617045402
Phone: (309) 451-3376
Type: Location
East Empire Street, Bloomington, McLean County, Illinois, 61704-2534, United States
BLOOMINGTON, IL 617045402
Phone:
Type: Mailing
1230 E Kingsley St Ste A&b
Springfield, MO 658047211
Phone: (417) 336-0033
Fax: (855) 710-6552
Type: Location
2200 E Cleveland St
Monett, MO 657086149
Phone: (417) 336-0033
Fax: (855) 710-6552
Type: Location
1450 DOWELL SPRINGS BLVD STE 210
KNOXVILLE, TN 379092448
Phone: (309) 451-3376
Type: Location
110 BUSINESS PARK DR STE C
BRANSON, MO 656167449
Phone: (417) 336-0033
Fax: (855) 710-6552
Type: Mailing
PO BOX 746768
ATLANTA, GA 303746768
Phone: (512) 252-3700
Fax: (512) 910-7903
Type: Mailing
1601 E PFLUGERVILLE PKWY STE 1102
PFLUGERVILLE, TX 786606148
Phone: (512) 252-3700
Fax: (512) 910-7903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,059.
Total Amount is formed as General ($1,059) + Research ($0) + Ownership ($0) = $1,059.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($169).
Total Amount
$1,059
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,059
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $169 |
| E.R. Squibb & Sons, L.L.C. | $113 |
| ABBVIE INC. | $96 |
| Regeneron Healthcare Solutions, Inc. | $91 |
| Lilly USA, LLC | $88 |
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: 2024-07-19
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 |
|---|---|---|---|---|
| I20240719001864 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 512 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 206 | 178 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 151 | 102 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 132 | 116 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 120 | 114 | $0 |
Insurance plans in this area (ZIP 61704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | IL | |
| Physician Assistant | IL | |
| Physician Assistant | WI | |
| Nurse Practitioner | IL | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | WI |
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