RICHARD JR. OFFENBACK (PA) – Physician Assistant, NPI 1871584920

RICHARD JR. OFFENBACK (PA) is a healthcare provider. based in Urbana, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085000765 (IL). The NPI Number for RICHARD JR. OFFENBACK (PA) is 1871584920

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD JR. OFFENBACK (PA)
NPI
1871584920
Phone
(217) 383-6792
Address
611 W PARK ST
Enumeration Date
28 October 2005
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8435078925
Graduation Year
1995 (31 years ago)
PAC ID
4284713264
Group Practice PAC ID
3274893359
Professional Enrollment ID
I20170404001487
Address ID
SC294452794GO515XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for RICHARD JR. OFFENBACK (PA)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012529

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Mailing address matches the actual address.

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: 2017-04-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170404001487IPhysician AssistantSCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes267267$0
99214Established patient office or other outpatient visit, 30-39 minutes223196$0
99203New patient office or other outpatient visit, 30-44 minutes192192$0
99213Established patient office or other outpatient visit, 20-29 minutes175169$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus10097$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274893359View full group profile
NameSpecialtyState
Physician AssistantSC
Physician AssistantSC
Family Practice, General PracticePA
Physician AssistantPA
Physician AssistantPA
Physician AssistantSC
Physician AssistantMI
Physician AssistantSC
Nurse PractitionerKY
Nurse PractitionerCO

Reviews

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Frequently asked questions

Does RICHARD JR. OFFENBACK (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RICHARD JR. OFFENBACK (PA) uses 1871584920.
Is RICHARD JR. OFFENBACK (PA) still practicing?
RICHARD JR. OFFENBACK (PA) is currently listed as active in the public NPI registry.
What is RICHARD JR. OFFENBACK (PA) best known for clinically?
Directory data describes RICHARD JR. OFFENBACK (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does RICHARD JR. OFFENBACK (PA) list a practice location?
Patients near Urbana, Illinois may find RICHARD JR. OFFENBACK (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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