MR. JAYSON A COBLE (PA-C) – Physician Assistant, NPI 1124014865
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. JAYSON A COBLE (PA-C)
209, South 3rd Street, Riverton, Sangamon County, Illinois, 62561, United States
RIVERTON, IL 625618128
Phone: (217) 622-0110
Fax: (217) 761-2910
Type: Mailing
Camp Lincoln Commissary Building, 1301, North MacArthur Boulevard, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627022317
Phone: (217) 789-6030
Fax: (217) 761-2910
Type: Location
3132 Old Jacksonville Rd Ste 110
Springfield, IL 627047401
Phone: (217) 588-2600
Fax: (217) 862-0904
Type: Location
3132 OLD JACKSONVILLE RD STE 110
SPRINGFIELD, IL 627047401
Phone: (217) 588-2600
Fax: (217) 862-0904
Type: Mailing
800 E CARPENTER ST
SPRINGFIELD, IL 627025324
Phone: (217) 544-6464
Type: Location
205 LINCOLN AVE
LINCOLN, IL 626561637
Phone: (217) 622-0110
Fax: (217) 761-2910
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.
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: 2004-04-12
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 |
|---|---|---|---|---|
| I20040412000948 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 49 | 46 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 38 | 38 | $0 |
Insurance plans in this area (ZIP 62561)
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