HAILEY M TRAUB (PA-C) – Medical Physician Assistant, NPI 1194348615
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for HAILEY M TRAUB (PA-C)
105 STONE RIDGE MEADOWS DR
O FALLON, MO 633661563
Phone: (314) 550-6700
Type: Mailing
105 Stone Ridge Meadows Dr
O Fallon, MO 633661563
Phone: (314) 550-6700
Type: Location
1000 HEALTH CENTER DR
MATTOON, IL 619384644
Phone: (217) 238-4325
Fax: (217) 238-4290
Type: Location
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384653
Phone: (217) 342-3400
Type: Mailing
PO BOX 372
MATTOON, IL 619380372
Phone: (217) 868-2812
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $15 |
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: 2021-10-15
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 |
|---|---|---|---|---|
| I20211015002196 | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 106 | 103 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 45 | 42 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 18 | 17 | $0 |
Insurance plans in this area (ZIP 63366)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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