JACOB BLASINGAME (PA-C) – Physician Assistant, NPI 1720619232
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JACOB BLASINGAME (PA-C)
1000 MEDICAL CENTER DR
MONTICELLO, IL 618562116
Phone: (217) 762-2115
Fax: (217) 762-1542
Type: Mailing
108 BURWASH AVE APT B
SAVOY, IL 618748700
Phone:
Type: Mailing
2300 S 1ST ST
CHAMPAIGN, IL 618207661
Phone: (217) 383-9400
Type: Location
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: 2020-07-07
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 |
|---|---|---|---|---|
| I20200707002512 | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 99 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 43 | $0 |
Insurance plans in this area (ZIP 61856)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | IL | |
| Vascular Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Emergency Medicine | IL |
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