MR. JOHNNY B JR. TERRY (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1851629810
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. JOHNNY B JR. TERRY (PHYSICIAN ASSISTANT)
25 N WINFIELD RD STE 201
WINFIELD, IL 601901379
Phone: (630) 933-4480
Type: Location
350, Northwest 84th Avenue, Plantation, Broward County, Florida, 33324, United States
SUITE 300
PLANTATION, FL 333241817
Phone: (954) 475-9535
Type: Mailing
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.
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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: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20120210000037 | I | Physician Assistant | FL | TBD |
| I20190409000568 | I | Physician Assistant | IL | TBD |
| I20250313002870 | I | Physician Assistant | GA | TBD |
| I20251125004842 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 32 | 32 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 23 | 23 | $0 |
| 33268 | Exclusion of appendage of left upper chamber of heart performed during other procedure on chest | 17 | 17 | $0 |
| 33517 | Coronary artery bypass using vein or artery graft, 1 graft | 15 | 15 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60190)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| - | VA | |
| Pulmonary Disease, Critical Care (Intensivists) | WV | |
| Cardiovascular Disease (Cardiology), Thoracic Surgery | MI | |
| Hospitalist, Internal Medicine | VA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA |
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